MEDICARE: LAN THI VU NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN134131 NP	GA

General Provider Information

NPI Number	:	1730188004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAN THI VU NP

Provider Business Mailing Address
First Line	:	2750 OWENS DRIVE
Second Line	:	SUITE A
City	:	CONYERS
State	:	GA
Zip	:	30094
Country	:	US
Telephone Number	:	678-413-4644
Fax Number	:	678-413-4624

Provider Business Practice Location Address
First Line	:	2750 OWENS DRIVE
Second Line	:	SUITE A
City	:	CONYERS
State	:	GA
Zip	:	30094
Country	:	US
Telephone Number	:	678-413-4644
Fax Number	:	678-413-4624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	01/24/2011

Similar Medicare Providers

1255052791 — QUINTEN PEPRAH OPPONG LMFT
Practice Location Address:

1257 COMMERCIAL DR SW STE A
CONYERS, GA
30094-5991

Practice Phone: 770-285-6049
Practice Fax:

1699595256 — PAMELA VACAOLIVO LMT
Practice Location Address:

905 FLAT SHOALS RD SE
CONYERS, GA
30094-5911

Practice Phone: 678-468-5793
Practice Fax: 207-613-2777

1225031974 — DR. DONNA-MARIE ERIKA BROWN M.D.
Practice Location Address:

1498 KLONDIKE RD SW , STE 106
CONYERS, GA
30094-5169

Practice Phone: 770-860-8177
Practice Fax: 770-860-8166

1669475943 — MRS. ROTONDA KEATON WILLIAMS P.A.
Practice Location Address:

1498 KLONDIKE RD SW , SUITE 106
CONYERS, GA
30094-5169

Practice Phone: 770-761-7260
Practice Fax: 678-413-1818

1538163167 — PAULINE L KUNTZ SLP
Practice Location Address:

2160 SMYRNA RIDGE CT SW
CONYERS, GA
30094-6200

Practice Phone: 770-483-1083
Practice Fax: 770-483-1083

1407849722 — STEPHANIE H GORDON M.D.
Practice Location Address:

2750 OWENS RD SW , SUITE A
CONYERS, GA
30094-3991

Practice Phone: 678-413-4644
Practice Fax: 678-413-4624

Directions to “ LAN THI VU NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.