Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 14807 | AL |
NPI | 1033151352 |
---|---|
Provider Name | Yung Ruang Lau |
First Address | Birmingham, AL 35255-5823 |
Second Address | Birmingham, AL 35233-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 09/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000024410 | (05) | AL |
00126869 | MISSISSIPPI MEDICAID (01) | AL |
23349 | HEALTHSPRING (01) | AL |
2510183 | UHC (01) | AL |
51024410 | BC BS (01) | AL |
E35176 | (02) |