Individual
LORIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9972 LIBERIA AVE, MANASSAS, VA 20110-7052
(703) 257-0002
(703) 392-5742
Mailing address
5623 VICTORY LOOP, MANASSAS, VA 20112-8865
(225) 802-0604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208165
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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