MEDICARE: DR. LAM DUY NGUYEN M.D.

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	207R00000X	Internal Medicine Physician	021553	LA
2	207RC0000X	Cardiovascular Disease Physician	MD.021553	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110247204	OTHER	LA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316929813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAM DUY NGUYEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 122152 DEPT 2152
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75312-0001
Country	:	US
Telephone Number	:	337-494-2921
Fax Number	:	337-494-6523

Provider Business Practice Location Address
First Line	:	1322 ELTON RD STE E
Second Line	:
City	:	JENNINGS
State	:	LA
Zip	:	70546-4100
Country	:	US
Telephone Number	:	337-824-6835
Fax Number	:	337-824-8741

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/19/2025

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Directions to “ DR. LAM DUY NGUYEN M.D.” Practice Location

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