Healthcare Provider Details

I. General information

NPI: 1497098735
Provider Name (Legal Business Name): LAN CHI LE VO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRYSTI VO

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 26TH ST
NEW YORK NY
10001-6813
US

IV. Provider business mailing address

4141 JENNY LAKE TRL
FORT WORTH TX
76244-6923
US

V. Phone/Fax

Practice location:
  • Phone: 267-314-7252
  • Fax:
Mailing address:
  • Phone: 267-314-7252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2023-02416
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number285008
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2023035917
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1016396
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD.46936
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101279417
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberCDR.0003015
License Number StateCO
# 8
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA180682
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD465235
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME163584
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number71011
License Number StateAZ
# 12
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number90731
License Number StateSC
# 13
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number74793
License Number StateGA
# 14
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA11555600
License Number StateNJ
# 15
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberU5255
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: