Provider Demographics
NPI:1144481912
Name:DREW, LIEN KIM BUI (MD)
Entity type:Individual
Prefix:DR
First Name:LIEN
Middle Name:KIM BUI
Last Name:DREW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LIEN
Other - Middle Name:KIM
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:91 SETTLERS TRACE BLVD
Mailing Address - Street 2:BLDG 3
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6089
Mailing Address - Country:US
Mailing Address - Phone:337-524-1700
Mailing Address - Fax:337-524-1702
Practice Address - Street 1:91 SETTLERS TRACE BLVD
Practice Address - Street 2:BLDG 3
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-524-1700
Practice Address - Fax:337-524-1702
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.203795207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology