Provider Demographics
NPI:1538581160
Name:TRUONG-NGUYEN, LILIANE (RPH)
Entity type:Individual
Prefix:
First Name:LILIANE
Middle Name:
Last Name:TRUONG-NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5785 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8982
Mailing Address - Country:US
Mailing Address - Phone:614-855-4910
Mailing Address - Fax:614-855-4965
Practice Address - Street 1:5050 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1312
Practice Address - Country:US
Practice Address - Phone:614-855-4910
Practice Address - Fax:614-855-4965
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03320283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist