Individual
LAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 825-3400
Mailing address
273 LINCOLN ST, REVERE, MA 02151-4922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2292487
MA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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