| Vu Phung Lam, MD | |
|
1180 Mckendree Church Rd Ste 202, Lawrenceville, GA 30043-5207 | |
| (470) 292-3122 | |
| (404) 738-1614 |
| Full Name | Vu Phung Lam |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1180 Mckendree Church Rd Ste 202, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538402318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 99311 (Georgia) | Primary |
| Entity Name | Zodiac Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083344576 PECOS PAC ID: 8022492792 Enrollment ID: O20220829003795 |
| Mailing Address | Practice Location Address |
|---|---|
| Vu Phung Lam, MD 1800 Mckendree Church Rd Ste 202, Lawrenceville, GA 30043 Ph: (470) 292-3122 | Vu Phung Lam, MD 1180 Mckendree Church Rd Ste 202, Lawrenceville, GA 30043-5207 Ph: (470) 292-3122 |
Dr. Ayorinde Soipe, MD, MSC General Practice Medicare: Medicare Enrolled Practice Location: 3545 Cruse Rd Ste 103, Lawrenceville, GA 30044 Phone: 470-227-8130 Fax: 470-747-7588 | |
Dr. Louis Guy Chelton Iii, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 80 Rivershyre Cir, Lawrenceville, GA 30043 Phone: 770-513-4828 | |
Jodene Marie Nagel, FNP General Practice Medicare: Accepting Medicare Assignments Practice Location: 1655 Lebanon Rd, Lawrenceville, GA 30043 Phone: 770-682-2024 | |
Winston L Samuels, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1846 Old Norcross Rd Ste 100, Lawrenceville, GA 30044 Phone: 404-738-7878 Fax: 404-999-4968 | |
Dr. Charitin De Pena Gomez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 Professional Dr Ste 220, Lawrenceville, GA 30046 Phone: 770-709-6922 | |
Reem Hudaib, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1470 Bramlett Forest Trl, Lawrenceville, GA 30045 Phone: 404-644-3669 |