Provider Demographics
NPI:1245572643
Name:TRUONG, VALERIE LANANH (MD)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:LANANH
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3193 HOWELL MILL RD NW STE 220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2100
Mailing Address - Country:US
Mailing Address - Phone:404-350-5777
Mailing Address - Fax:404-350-0944
Practice Address - Street 1:3193 HOWELL MILL RD NW STE 220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:404-350-5777
Practice Address - Fax:404-350-0944
Is Sole Proprietor?:No
Enumeration Date:2013-03-23
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
GA081067207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program