Organization Active NPI

Twin Lakes Internal Medicine LLC

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1669611315
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101237592 Issued in VA
Legal business name
TWIN LAKES INTERNAL MEDICINE LLC
Practice address
1622 Lafayette Blvd
Fredericksburg, VA 22401-7065
Phone
(540) 419-0184
Fax
(540) 479-4038
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dien Nguyen, MD
Title
Owner
Phone
(540) 419-0184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101237592 VA Primary

Addresses

Primary practice location

1622 Lafayette Blvd
Fredericksburg, VA 22401-7065

Mailing address

1622 Lafayette Blvd
Fredericksburg, VA 22401-7065
Phone (540) 419-0184

National Provider Directory

National Provider Directory

Locations

1622 Lafayette Blvd
Fredericksburg, VA 22401
Phone (540) 419-0184

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1669611315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017065",
            "telephone_number": "540-419-0184",
            "fax_number": "540-479-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017065",
            "telephone_number": "540-419-0184",
            "fax_number": "540-479-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-419-0184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.