LE THANH LAC

ROSEVILLE, CA
NPI1831893569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
LE THANH LAC DO
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-781-1000
Mailing Address
LE THANH LAC DO
4859 BETTY MAE DR
STOCKTON, CA 95212-3042
Phone number: