Provider Demographics
NPI:1538402318
Name:LAM, VU PHUNG (MD)
Entity type:Individual
Prefix:
First Name:VU
Middle Name:PHUNG
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:37595 7 MILE RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1003
Mailing Address - Country:US
Mailing Address - Phone:734-793-2470
Mailing Address - Fax:734-793-2471
Practice Address - Street 1:37595 7 MILE RD
Practice Address - Street 2:SUITE 340
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1003
Practice Address - Country:US
Practice Address - Phone:734-793-2470
Practice Address - Fax:734-793-2471
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-31
Last Update Date:2024-06-12
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Provider Licenses
StateLicense IDTaxonomies
GA99311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine