LE THANH LAC

ROSEVILLE, CA
NPI1831893569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A24908)
Enumeration Date2023-03-28
Last Update Date2026-09-18
Business Address
LE THANH LAC DO
2261 DOUGLAS BLVD
ROSEVILLE, CA 95661-3831
Phone number: 916-791-0922
Mailing Address
LE THANH LAC DO
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 800-470-0071