| NPI | 1679614465 |
|---|---|
| Doing Business As | LAVISTA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LIEN D. NGUYEN President 770-270-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 036656) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |