Healthcare Provider Details

I. General information

NPI: 1699194902
Provider Name (Legal Business Name): HONGVAN LE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17732 HIGHLAND RD STE G #295
BATON ROUGE LA
70810-3846
US

IV. Provider business mailing address

17732 HIGHLAND RD STE G #295
BATON ROUGE LA
70810
US

V. Phone/Fax

Practice location:
  • Phone: 225-364-9404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number26835
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: