DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LILEE NGUYEN PA-C

MEDICARE: LILEE NGUYEN PA-C
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
1363A00000XPhysician Assistant14029GA

General Provider Information

NPI Number : 1841010592
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILEE NGUYEN PA-C
Provider Business Mailing Address
First Line : 631 PROFESSIONAL DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-3367
Country : US
Telephone Number : 678-312-2663
Fax Number :
Provider Business Practice Location Address
First Line : 5050 N CLINTON ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5886
Country : US
Telephone Number : 260-484-8551
Fax Number : 260-482-5060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 06/03/2026

Similar Medicare Providers

1144228529 — DR. SCOTT DAVIS M.D.
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-482-5060
1811995970 — WILLIAM J BERGHOFF MD
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-484-9603
1902804750 — LORINDA M BROWNING MD
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-482-5060
1154329902 — DAVID A GOERTZEN MD
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-482-5060
1699773440 — WARD P HAMLET MD
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-482-5060
1689673204 — JEFFREY L HARRIS MD
Practice Location Address:
5050 N CLINTON ST
FORT WAYNE, IN
46825-5886
Practice Phone: 260-484-8551
Practice Fax: 260-408-8014

Directions to “ LILEE NGUYEN PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.