Organization
N.D. LIEN, P.C.
Active
Other names
LAVISTA PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LIEN D. NGUYEN (PRESIDENT)
(770) 270-0290
Entity
Organization
Contact information
Practice address
4865 LAVISTA RD, TUCKER, GA 30084-4436
(770) 270-0290
Mailing address
PO BOX 29528, ATLANTA, GA 30359-0528
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614116C
—
GA
01
—
1154358760
DICH VAN NGUYEN, MD
GA
Enumeration date
02/12/2007
Last updated
08/22/2020
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