Individual
KHUE DUNG LUCY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 SW 39TH ST, STE 150, RENTON, WA 98057-4912
(425) 793-4700
(425) 656-4046
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135836
L&I
WA
01
—
110205383
RR MEDICARE
WA
01
—
5863NG
REGENCE
WA
05
—
8256398
—
WA
Enumeration date
05/03/2006
Last updated
11/14/2016
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