TANANCHAI A LUCKTONG

ROANOKE, VA
NPI1578526067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: VA  0101-232309)
Enumeration Date2006-04-07
Last Update Date2011-08-12
Business Address
-- TANANCHAI A LUCKTONG M.D.
3 RIVERSIDE CIRCLE
ROANOKE, VA 24016
Phone number: 540-224-5170
Mailing Address
-- TANANCHAI A LUCKTONG M.D.
3 RIVERSIDE CIRCLE
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
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