Active NPI
Lydia Lai-Wa Wu, N.P.
- Nurse Practitioner
- Dublin, GA
National Provider Identifier
1710107792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704256969
- Practice address
- 506 Brookwood Dr
Apt. # Q6
Dublin, GA 31021-4917 - Phone
- (410) 262-2147
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704256969 | MI | Primary |
Addresses
Primary practice location
506 Brookwood Dr
Apt. # Q6
Dublin, GA 31021-4917
Mailing address
506 Brookwood Dr
Apt. # Q6
Dublin, GA 31021-4917
Phone (410) 262-2147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704256969 | MI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1710107792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 BROOKWOOD DR",
"address_2": "APT. # Q6",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214917",
"telephone_number": "410-262-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 BROOKWOOD DR",
"address_2": "APT. # Q6",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214917",
"telephone_number": "410-262-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "LYDIA",
"middle_name": "LAI-WA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704256969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.