Individual
LAM PHUONG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1450 5TH ST SE, STE 3600, PUYALLUP, WA 98372-4602
(253) 697-3480
(253) 697-3490
Mailing address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 697-3480
(253) 697-3490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OP60642499
WA
2086S0102X
Surgical Critical Care Physician
Primary
OP60642499
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2010
Last updated
08/09/2016
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