Healthcare Provider Details

I. General information

NPI: 1407960149
Provider Name (Legal Business Name): CINDY LAO TU APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 BUFORD RD STE 600
CUMMING GA
30041-2708
US

IV. Provider business mailing address

1175 BUFORD RD STE 600
CUMMING GA
30041-2708
US

V. Phone/Fax

Practice location:
  • Phone: 404-368-0974
  • Fax:
Mailing address:
  • Phone: 404-368-0974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN156557
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: