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Individual

MR. NGUYEN LAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.D.N.

Contact information

Practice address
18 KOSCIUSZKO ST APT 2, BROOKLYN, NY 11205-4909
(337) 277-0904
Mailing address
18 KOSCIUSZKO ST APT 2, BROOKLYN, NY 11205-4909
(337) 277-0904

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1020563

Other

Enumeration date
12/19/2013
Last updated
12/19/2013
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