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Individual

DR. LANI PHUONG VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1333 3RD AVE S STE 301, NAPLES, FL 34102-6499
(239) 262-2020
(239) 435-1084
Mailing address
1333 3RD AVE S STE 301, NAPLES, FL 34102-6499
(239) 262-2020
(239) 435-1084

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M4626
TX
207W00000X
Ophthalmology Physician
Primary
ME99048
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06751
BLUE CROSS BLUE SHIELD
01
AF936Z
MEDICARE PTAN
FL
01
P00446538
RAILROAD MEDICARE PTAN
Enumeration date
07/13/2006
Last updated
08/22/2019
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