Healthcare Provider Details

I. General information

NPI: 1124937339
Provider Name (Legal Business Name): LYNDA NGUYEN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 OPELOUSAS AVE
NEW ORLEANS LA
70114-4343
US

IV. Provider business mailing address

627 OPELOUSAS AVE # 26
NEW ORLEANS LA
70114-4343
US

V. Phone/Fax

Practice location:
  • Phone: 504-224-7374
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLA8812
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: