Individual
LAN THI-PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41104A, SAINT PAUL, MN 55130-5302
(651) 254-7980
(651) 254-7969
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-7980
(651) 254-7969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45592
MN
2086S0129X
Vascular Surgery Physician
Primary
45592
MN
Other
Enumeration date
04/06/2006
Last updated
02/04/2021
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