MEDICARE: TU LE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	548278	CA

General Provider Information

NPI Number	:	1437229838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TU LE

Provider Business Mailing Address
First Line	:	14120 BEACH BLVD STE 104
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-4454
Country	:	US
Telephone Number	:	714-896-7390
Fax Number	:

Provider Business Practice Location Address
First Line	:	14120 BEACH BLVD STE 104
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-4454
Country	:	US
Telephone Number	:	714-896-7390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/10/2007

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