MEDICARE: LANHUONG NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	312192	LA

General Provider Information

NPI Number	:	1114346665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANHUONG NGUYEN

Provider Business Mailing Address
First Line	:	4600 SHERWOOD COMMON BLVD STE 301
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4890
Country	:	US
Telephone Number	:	225-537-8895
Fax Number	:	225-465-7587

Provider Business Practice Location Address
First Line	:	4600 SHERWOOD COMMON BLVD STE 301
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4890
Country	:	US
Telephone Number	:	225-537-8895
Fax Number	:	225-465-7587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	04/21/2026

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