Provider Demographics
NPI:1104618305
Name:LE, NGOC DUC
Entity type:Individual
Prefix:
First Name:NGOC
Middle Name:DUC
Last Name:LE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 PRAIRIE LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1587
Mailing Address - Country:US
Mailing Address - Phone:402-580-8964
Mailing Address - Fax:
Practice Address - Street 1:1820 PRAIRIE LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1587
Practice Address - Country:US
Practice Address - Phone:402-580-8964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide