Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A117075 | CA |
N | 208200000X | Surgeon | A117075 | CA |
N | 208600000X | Surgeon | A117075 | CA |
Y | 208200000X | Surgeon | MD449786 | PA |
Y | 208600000X | Surgeon | MD449786 | PA |
NPI | 1528212933 |
---|---|
Provider Name | Dr. Kwan Nang Lau |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A1170750 | (05) | CA |