Provider Demographics
NPI:1558740670
Name:NGUYEN, LAMSON DANG (DO)
Entity Type:Individual
Prefix:
First Name:LAMSON
Middle Name:DANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 SEVEN CORNERS PLACE
Mailing Address - Street 2:STE K
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2034
Mailing Address - Country:US
Mailing Address - Phone:703-536-8864
Mailing Address - Fax:703-536-4290
Practice Address - Street 1:6404 SEVEN CORNERS PLACE
Practice Address - Street 2:STE K
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2034
Practice Address - Country:US
Practice Address - Phone:703-536-8864
Practice Address - Fax:703-536-4290
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116027849208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics