Provider Demographics
NPI:1942490719
Name:LUU, HONG HANH THI (LMP)
Entity Type:Individual
Prefix:MISS
First Name:HONG HANH
Middle Name:THI
Last Name:LUU
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 NE SUNSET BLVD # 2
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4018
Mailing Address - Country:US
Mailing Address - Phone:425-255-2600
Mailing Address - Fax:425-255-2601
Practice Address - Street 1:4444 NE SUNSET BLVD # 2
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4018
Practice Address - Country:US
Practice Address - Phone:425-255-2600
Practice Address - Fax:425-255-2601
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023824174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist