Provider Demographics
NPI:1497032254
Name:NGUYEN, LANANH T (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LANANH
Middle Name:T
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 1:26932 LA PAZ RD
Mailing Address - Street 2:T0259
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3038
Mailing Address - Country:US
Mailing Address - Phone:949-831-6314
Mailing Address - Fax:949-831-6314
Practice Address - Street 1:26932 LA PAZ RD
Practice Address - Street 2:T0259
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3038
Practice Address - Country:US
Practice Address - Phone:949-831-6314
Practice Address - Fax:949-831-6314
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH51121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist