# CARNIVORE LIFESTYLE MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457091027
- **Authorized official:** LAWRENCE H. NGUYEN MD (OWNER)
- **Authorized official phone:** (346) 220-8063

## Contact information

- **Practice address:** 3275 COLLEGE PARK DR, THE WOODLANDS, TX 77384-4501
- **Practice address phone:** (346) 220-8063
- **Practice address fax:** (832) 838-4362
- **Mailing address:** 3275 COLLEGE PARK DR, THE WOODLANDS, TX 77384-4501
- **Mailing address phone:** (346) 220-8063
- **Mailing address fax:** (832) 838-4362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 04/16/2024