Provider Demographics
NPI:1043326689
Name:LAMVU, GEORGINE MARIE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GEORGINE
Middle Name:MARIE
Last Name:LAMVU
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:2415 N ORANGE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5505
Mailing Address - Country:US
Mailing Address - Phone:407-303-2780
Mailing Address - Fax:407-303-2782
Practice Address - Street 1:2415 N ORANGE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5505
Practice Address - Country:US
Practice Address - Phone:407-303-2780
Practice Address - Fax:407-303-2782
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2012-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200100398207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7907035Medicaid
NC7907035Medicaid