Basic Information
Provider Information
NPI: 1528056900
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAU
FirstName: FRANCIS
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 S LAKE AVE
Address2: 535
City: PASADENA
State: CA
PostalCode: 911013005
CountryCode: US
TelephoneNumber: 6267956596
FaxNumber:  
Practice Location
Address1: 23845 MCBEAN PKWY
Address2:  
City: VALENCIA
State: CA
PostalCode: 913552001
CountryCode: US
TelephoneNumber: 6612538020
FaxNumber: 6612538142
Other Information
ProviderEnumerationDate: 10/11/2005
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA91625CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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