Le, Lisa Khanh

Le, Lisa Khanh is an individual health care provider with primary practice located at 17609 Old Jefferson Hwy , Prairieville LA 70769-3979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Le, Lisa Khanh can be contacted via phone (225) 647-8511.

Contact Information

Primary practice address
17609 Old Jefferson Hwy Prairieville LA 70769-3979
Phone: (225) 647-8511
Fax: (225) 744-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A70998 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022667 Louisiana

Profile Details

NPI number 1770581381
LBN Legal business name Le, Lisa Khanh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770581381 NPPES
Louisiana MEDICAID 1491721
Louisiana MEDICAID 00A709980

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