Individual
LAURA TRUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72701
MN
207Q00000X
Family Medicine Physician
Q1869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881955193
NPI NUMBER
—
Enumeration date
06/04/2012
Last updated
02/17/2023
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