Individual
SON BINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 LAPALCO BLVD, SUITE 1, GRETNA, LA 70056-7369
(504) 392-4114
(504) 533-8622
Mailing address
435 LAPALCO BLVD, SUITE 1, GRETNA, LA 70056-7369
(504) 392-4114
(504) 533-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.205430
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06735723
—
MS
05
—
1883964
—
LA
Enumeration date
04/27/2009
Last updated
12/16/2019
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