Provider Demographics
NPI:1033748959
Name:TRUONG, LYDIA CAM (MD)
Entity Type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:CAM
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL BRANCH CLINIC IWAKUNI, 1 CHOME MISUMIMACHI
Mailing Address - Street 2:IWAKUNI, JAPAN
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96310
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NAVAL BRANCH CLINIC IWAKUNI, 1 CHOME MISUMIMACHI
Practice Address - Street 2:IWAKUNI, JAPAN
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96310
Practice Address - Country:US
Practice Address - Phone:315-255-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider