Individual
DR. LISA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60464650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0365214
L&I RADIA-REST OF WA
WA
01
—
0365215
L&I RADIA-KING COUNTY
WA
05
—
2039040
—
WA
01
—
G8933571
MEDICARE PTAN
WA
Enumeration date
06/11/2008
Last updated
04/12/2017
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