Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | A103237 | CA |
NPI | 1316110521 |
---|---|
Provider Name | Dr. Stanley Taune Lau |
First Address | Los Angeles, CA 90027-6063 |
Second Address | Los Angeles, CA 90027-6063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2008 |
Last Update Date | 01/11/2021 |