Provider Demographics
NPI:1891195046
Name:NGUYEN, LANA (RPH)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 SCENIC RIVER LN APT 8F
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-7516
Mailing Address - Country:US
Mailing Address - Phone:619-549-4788
Mailing Address - Fax:
Practice Address - Street 1:4000 SCENIC RIVER LN APT 8F
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-7516
Practice Address - Country:US
Practice Address - Phone:619-549-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist