Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 43374 | AZ |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | B59255 | MD |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C54388 | CA |
N | 207VX0000X | Obstetrician | B59255 | MD |
NPI | 1144298431 |
---|---|
Provider Name | Dr. Gregory Wei-Yip Lau |
First Address | Yuma, AZ 85364-7726 |
Second Address | Yuma, AZ 85364-7726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 05/12/2014 |