Provider Demographics
NPI:1003981457
Name:NGUYEN, LAN-PHUONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAN-PHUONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N LAKEVIEW AVE
Mailing Address - Street 2:KAISER PERMANENTE ANTICOAGULATION SERVICE
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-3028
Mailing Address - Country:US
Mailing Address - Phone:714-279-5403
Mailing Address - Fax:714-279-4809
Practice Address - Street 1:411 N LAKEVIEW AVE
Practice Address - Street 2:KAISER PERMANENTE ANTICOAGULATION SERVICE
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3028
Practice Address - Country:US
Practice Address - Phone:714-279-5403
Practice Address - Fax:714-279-4809
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 49842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist