PHUONG MINH LAM
NPI 1679204549
Licensed Vocational Nurse in Roseville, CA

Active since June 22, 2022
1133 COLOMA WAY, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phuong Minh Lam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUONG MINH LAM (NPI 1679204549) is an individual licensed vocational nurse in Roseville, California, licensed in California (707024) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1679204549
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NamePHUONG MINH LAM
Location Address1133 COLOMA WAYRoseville, CA 95661-4480
Mailing Address8029 White Castle WaySacramento, CA 95828-5446 · (916) 416-6064
Sole ProprietorNo
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1679204549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 707024
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 707024 (CA)
1133 COLOMA WAY, Roseville, CA 95661

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, SUITE C
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Counselor (Mental Health)
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, C
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, STE C
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Case Manager/Care Coordinator
1133 COLOMA WAY
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679204549, enumerated as an "individual" on June 22, 2022.

The provider is located at 1133 COLOMA WAY ROSEVILLE, CA 95661 and the phone number is (916) 774-6647.

Licensed Vocational Nurse with taxonomy code 164X00000X.