Luong Phan is a student in an organized health care education training program in Charlotte, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Luong Phan NPI is 1144971847. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14848 HAVASU ST
CHARLOTTE, NC
ZIP 28273-130
Phone: (704) 564-7507
The enumeration date for this NPI number is 1/13/2022 and was last updated on 1/13/2022.