Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC25157 | CA |
N | 111NX0100X | Occupational Health | DC25157 | CA |
NPI | 1043203847 |
---|---|
Provider Name | Dr. Michael D Lau |
First Address | Torrance, CA 90504-5042 |
Second Address | Torrance, CA 90504-5042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC25157 | (02) | CA |