Individual
LARA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1001 LITTLE OAK WAY, ROUND ROCK, TX 78681-5517
(404) 786-8424
Mailing address
1001 LITTLE OAK WAY, ROUND ROCK, TX 78681-5517
(512) 255-8868
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1032061
TX
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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