Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A101577 | CA |
NPI | 1225214695 |
---|---|
Provider Name | Dr. Christina Lau Corey |
First Address | Berkeley, CA 94704-2212 |
Second Address | Berkeley, CA 94704-2212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 20/05/2013 |