Provider Demographics
NPI:1346746856
Name:NGUYEN, LYNN VI (PA)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:VI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5899 PRESTON RD STE 803
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9592
Mailing Address - Country:US
Mailing Address - Phone:972-645-1677
Mailing Address - Fax:214-618-0963
Practice Address - Street 1:5899 PRESTON RD STE 803
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-645-1677
Practice Address - Fax:214-618-0963
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11823207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology