LE THANH LAC DO
NPI 1831893569
Student in an Organized Health Care Education/Training Program in Roseville, CA

Q: What is Le Lac's NPI number?

The NPI number for Le Lac is 1831893569. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Le Lac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Le Lac was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2023PECOS Enrolled

1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Le Thanh Lac Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LE THANH LAC DO (NPI 1831893569) is an individual student in an organized health care education/training program in Roseville, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831893569

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLE THANH LACCredential: DO

Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037

Mailing Address4859 Betty Mae DrStockton, CA 95212-3042

Phone(916) 781-1000

Sole ProprietorNo

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1831893569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL PLAZA DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Le Thanh Lac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program