Provider Demographics
NPI:1609034859
Name:VU, TRUCLY CHUNG (DPM)
Entity Type:Individual
Prefix:DR
First Name:TRUCLY
Middle Name:CHUNG
Last Name:VU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N FOSTER DR
Mailing Address - Street 2:LSU DIABETES FOOT PROGRAM
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1818
Mailing Address - Country:US
Mailing Address - Phone:225-987-9013
Mailing Address - Fax:225-987-9022
Practice Address - Street 1:1401 N FOSTER DR
Practice Address - Street 2:LSU DIABETES FOOT PROGRAM
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1818
Practice Address - Country:US
Practice Address - Phone:225-987-9013
Practice Address - Fax:225-987-9022
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LADPM.PD0105213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine