Individual
DR. LISA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 788-1702
(509) 786-1022
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(529) 788-1702
(509) 786-1022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL123456789
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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