NPI Code Detail JSON Logo

1841516879 NPI number — LAM PHUONG THI NGUYEN D.O.

NPI Number: 1841516879
Health Care Provider/Practitioner: LAM PHUONG THI NGUYEN D.O.

Information about “1841516879” NPI (LAM PHUONG THI NGUYEN D.O.) exists in 1841516879 in HTML format HTML  |  1841516879 in plain Text format TXT  |  1841516879 in PDF (Portable Document Format) PDF  |  1841516879 in an XML format XML  formats.

NPI Number : 1841516879 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841516879",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGUYEN",
    "FirstName": "LAM PHUONG",
    "MiddleName": "THI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "315 MARTIN L KING JR WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98405-4234",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-697-3480",
    "MailingAddressFaxNumber": "253-697-3490",
    "FirstLinePracticeLocationAddress": "1450 5TH ST SE",
    "SecondLinePracticeLocationAddress": "STE 3600",
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98372-4602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-697-3480",
    "PracticeLocationAddressFaxNumber": "253-697-3490",
    "EnumerationDate": "04/15/2010",
    "LastUpdateDate": "08/09/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "OP60642499",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2086S0102X",
          "TaxonomyName": "Surgical Critical Care Physician",
          "LicenseNumber": "OP60642499",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.