Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | OP60946987 | WA |
NPI | 1023402914 |
---|---|
Provider Name | Lien B Nguyen |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98122-5788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 04/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023402914 | (05) | WA |