Provider Demographics
NPI:1225040801
Name:VU, LAWRENCE LUAN-DINH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LUAN-DINH
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 MILITARY RD S
Mailing Address - Street 2:STE #2
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3086
Mailing Address - Country:US
Mailing Address - Phone:206-242-7333
Mailing Address - Fax:206-242-7335
Practice Address - Street 1:13100 MILITARY RD S
Practice Address - Street 2:STE #2
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3086
Practice Address - Country:US
Practice Address - Phone:206-242-7333
Practice Address - Fax:206-242-7335
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8355497Medicaid
WA8355497Medicaid
WAH88468Medicare UPIN