Provider Demographics
NPI:1477206639
Name:VU, LAN (RPH)
Entity Type:Individual
Prefix:
First Name:LAN
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15310 COLWYN LN
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1318
Mailing Address - Country:US
Mailing Address - Phone:832-282-7029
Mailing Address - Fax:
Practice Address - Street 1:10101 SOUTHWEST FWY STE 315
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1111
Practice Address - Country:US
Practice Address - Phone:832-358-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist