Provider Demographics
NPI:1831312198
Name:NGUYEN, LAWRENCE THUY
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:THUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:THUY
Other - Middle Name:NHU
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10965 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4929
Mailing Address - Country:US
Mailing Address - Phone:714-636-8468
Mailing Address - Fax:714-636-0873
Practice Address - Street 1:10965 WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4929
Practice Address - Country:US
Practice Address - Phone:714-636-8468
Practice Address - Fax:714-636-0873
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice