Luat Phan

NPI 1164887212 · on the registry since 2015 · sole proprietor

Practice

Address: 500 Foothill Blvd
Attention: 119
Salt Lake City, UT 84148
Phone: (801) 582-1565
Organisation at this address: Salt Lake City Vamc
Salt Lake City Vamc
Salt Lake City Vamc
Salt Lake City V.A. Laboratory
Va Health Care System, Salt Lake City, Ut
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 213

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah