Provider Demographics
NPI:1477726214
Name:LE, LIET N (MD)
Entity Type:Individual
Prefix:
First Name:LIET
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22659 HIGHWAY 59 N
Mailing Address - Street 2:STE 140
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4406
Mailing Address - Country:US
Mailing Address - Phone:281-973-4159
Mailing Address - Fax:281-973-2359
Practice Address - Street 1:22659 HIGHWAY 59 N
Practice Address - Street 2:STE 140
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4406
Practice Address - Country:US
Practice Address - Phone:281-973-4159
Practice Address - Fax:281-973-2359
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2016-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP7300207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology