Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 300592 | NY |
NPI | 1477102234 |
---|---|
Provider Name | Lawrence Lau |
First Address | Great Neck, NY 11021-2015 |
Second Address | Manhasset, NY 11030-3815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2019 |
Last Update Date | 05/09/2019 |