Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lily Nguyen, PA-S

Individual provider Physician Assistant · NPI 1043994965

Lily Nguyen, PA-S is a Physician Assistant in Ludlow, Massachusetts. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

471 Center St
Ludlow, MA 01056-2733
Phone: (413) 625-3500
Fax: (413) 625-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 588 Longmeadow St, Longmeadow, MA 01106-2212 — (413) 286-6515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102356 (MA)

Record details

NPI number1043994965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ludlow