Individual
MAI KIM VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 364-0441
Mailing address
113 KAREN DR, LAFAYETTE, LA 70503-3835
(504) 905-7168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325562
LA
208D00000X
General Practice Physician
325562
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/09/2024
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