Provider Demographics
NPI:1548600349
Name:LUU, HUONG NGOC (PHLEMBOTOMIST ACSP E)
Entity Type:Individual
Prefix:MRS
First Name:HUONG
Middle Name:NGOC
Last Name:LUU
Suffix:
Gender:F
Credentials:PHLEMBOTOMIST ACSP E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 3408
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109
Mailing Address - Country:US
Mailing Address - Phone:571-288-6728
Mailing Address - Fax:703-365-2153
Practice Address - Street 1:7700 DUNEIDER LN
Practice Address - Street 2:
Practice Address - City:CITY MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109
Practice Address - Country:US
Practice Address - Phone:571-288-6728
Practice Address - Fax:703-365-2153
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILPBT3118ASCP202K00000X
NCC.E.K.G.T67011813000202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology