Doctor Name: | JOHN SENG UNG LAU |
NPI Number: | 1427055862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME90413 |
Business Practice Address: | 784 E Prima Vista Blvd Port St Lucie, FL - 349522271 |
Business Phone Number: | 7728787311 |
Business Fax Number: | 7728787321 |
Mailing Address: | 784 E Prima Vista Blvd, PORT ST LUCIE |
State: | FL |
Postal Code: | 349522271 |
Phone Number: | 7728787311 |
Fax Number: | 7728787321 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME90413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |