| Lam Nguyen MD Pmc | |
|
1322 Elton Rd Suite E Jennings LA 70546-4100 | |
| (337) 824-6835 | |
| (337) 824-8741 |
| Full Name | Lam Nguyen MD Pmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1322 Elton Rd, Jennings, Louisiana |
| Authorized Official Name and Position | Lam D Nguyen (OWNER) |
| Authorized Official Contact | 3378246835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lam Nguyen MD Pmc 1322 Elton Rd Suite E Jennings LA 70546-4100 Ph: (337) 824-6835 | Lam Nguyen MD Pmc 1322 Elton Rd Suite E Jennings LA 70546-4100 Ph: (337) 824-6835 |
| NPI Number | 1215109400 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Medicare PECOS PAC ID | 3870500051 |
|---|---|
| Medicare Enrollment ID | O20060313000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215109400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 021553 (Louisiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (NU) | Primary |
| Provider Name | Lam D Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316929813 PECOS PAC ID: 7810938685 Enrollment ID: I20120905000232 |
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