Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34390 | AZ |
N | 111NI0900X | Internist | 34390 | AZ |
Y | 207RH0003X | Hematology & Oncology | 34390 | AZ |
NPI | 1003896051 |
---|---|
Provider Name | Dr. Augustine W Lau |
First Address | Yuma, AZ 85364 |
Second Address | Yuma, AZ 85364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 21/04/2015 |