Provider Demographics
NPI:1770475048
Name:NGUYEN, LAM TRUC (DC, PHD, CCHT, LRT)
Entity type:Individual
Prefix:DR
First Name:LAM
Middle Name:TRUC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC, PHD, CCHT, LRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3135
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7711
Mailing Address - Country:US
Mailing Address - Phone:479-226-2002
Mailing Address - Fax:
Practice Address - Street 1:7 WOODLAND PL
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72904-2564
Practice Address - Country:US
Practice Address - Phone:479-226-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No174H00000XOther Service ProvidersHealth Educator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program