Individual
LAN THI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2750 OWENS DRIVE, SUITE A, CONYERS, GA 30094
(678) 413-4644
(678) 413-4624
Mailing address
2750 OWENS DRIVE, SUITE A, CONYERS, GA 30094
(678) 413-4644
(678) 413-4624
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN134131 NP
GA
Other
Enumeration date
07/19/2005
Last updated
01/24/2011
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