Individual
LY THI BICH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4796 CAUGHLIN PKWY STE 108, RENO, NV 89519-0910
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-4876
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16530
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13829046
CAQH
—
05
—
1528403524
—
NV
Enumeration date
05/03/2013
Last updated
08/29/2023
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