Healthcare Provider Details

I. General information

NPI: 1063339471
Provider Name (Legal Business Name): LIEN NGUYEN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1277 KELLY JOHNSON BLVD STE 160
COLORADO SPRINGS CO
80920-3992
US

IV. Provider business mailing address

1277 KELLY JOHNSON BLVD STE 160
COLORADO SPRINGS CO
80920-3992
US

V. Phone/Fax

Practice location:
  • Phone: 719-257-3540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009926404
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: