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Individual

LILAN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4811 QUEENS BLVD, WOODSIDE, NY 11377-4450
(718) 205-9760
Mailing address
1115A 46TH AVE PH A, LONG ISLAND CITY, NY 11101-5299
(972) 375-1888

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011070
NY
152W00000X
Optometrist
10608
TX

Other

Enumeration date
07/22/2022
Last updated
09/03/2024
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