# N.D. LIEN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAVISTA PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679614465
- **Authorized official:** LIEN D. NGUYEN (PRESIDENT)
- **Authorized official phone:** (770) 270-0290

## Contact information

- **Practice address:** 4865 LAVISTA RD, TUCKER, GA 30084-4436
- **Practice address phone:** (770) 270-0290
- **Mailing address:** PO BOX 29528, ATLANTA, GA 30359-0528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 036656 | GA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00614116C | — | GA |
| 01 | — | 1154358760 | DICH VAN NGUYEN, MD | GA |