NPI | 1487795274 |
---|---|
Doing Business As | LAVISTA PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LIEN D. NGUYEN President 770-270-0290 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 024046) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |