Individual
LAMVIEN QUOC NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 MARY ESTHER BLVD, SUITE 303, MARY ESTHER, FL 32569-1972
(850) 243-7788
(850) 243-7738
Mailing address
PO BOX 699, GULF BREEZE, FL 32562-0699
(850) 243-7788
(850) 243-7738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME82527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51312
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/27/2006
Last updated
07/08/2007
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