Individual
JULIANNA LAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-5700
Mailing address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011895
IL
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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