Provider Demographics
NPI:1467676643
Name:NGUYEN, LAN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11169 BEECHNUT ST
Mailing Address - Street 2:STE. C.
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4340
Mailing Address - Country:US
Mailing Address - Phone:832-549-5383
Mailing Address - Fax:
Practice Address - Street 1:11169 BEECHNUT ST
Practice Address - Street 2:STE. C.
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4340
Practice Address - Country:US
Practice Address - Phone:832-549-5383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 9635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor