Doctor Name: | LIEN HUYNH THI NGUYEN |
NPI Number: | 1770555013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A37377 |
Business Practice Address: | 73 W March Ln Ste C Stockton, CA - 952075726 |
Business Phone Number: | 2099573901 |
Business Fax Number: | 2099572857 |
Mailing Address: | 73 W March Ln, Ste C STOCKTON |
State: | CA |
Postal Code: | 952075726 |
Phone Number: | 2099573901 |
Fax Number: | 2099572857 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 10/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A37377 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |