Provider Demographics
NPI:1497752364
Name:LUI, VICTOR K (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:K
Last Name:LUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3020 MERCER UNIVERSITY DR
Mailing Address - Street 2:100
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4145
Mailing Address - Country:US
Mailing Address - Phone:770-458-3383
Mailing Address - Fax:770-458-9958
Practice Address - Street 1:3020 MERCER UNIVERSITY DR
Practice Address - Street 2:100
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-4145
Practice Address - Country:US
Practice Address - Phone:770-458-3383
Practice Address - Fax:770-458-9958
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-06
Last Update Date:2007-07-08
Deactivation Date:2006-04-06
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
GA18694208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics