Louisiana
Board of Licensing
TRAN KIM PHUONG THI
Medical
License number
CLP.G04125-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
OUR LADY OF THE LAKE RMC, 5000 HENNESSY BLVD, BATON ROUGE, LA 70808
louisianalicensing.com
ID 21816947
LAST UPDATED 2024-04-13 09:42:27 UTC
LAST UPDATED 2024-04-13 09:42:27 UTC