Nguyen, Lan Ngoc

Nguyen, Lan Ngoc is an individual health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nguyen, Lan Ngoc can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 005463 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 5463 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5463 Connecticut

Profile Details

NPI number 1326472002
LBN Legal business name Nguyen, Lan Ngoc
Credentials FNP/APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Jun 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326472002 NPPES
Connecticut MEDICAID 004236130
Connecticut Other 1326472002
Connecticut Other 561230

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