Provider Demographics
NPI:1770043358
Name:LE, JULIE HOANG (DO)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:HOANG
Last Name:LE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 ONEIDA VALLEY RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2252
Mailing Address - Country:US
Mailing Address - Phone:247-968-5330
Mailing Address - Fax:
Practice Address - Street 1:129 ONEIDA VALLEY RD STE 310
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2252
Practice Address - Country:US
Practice Address - Phone:724-968-5330
Practice Address - Fax:724-431-2951
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS022646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC101105181OtherDRIVER'S LICENSE