| NPI Details | |
|---|---|
| NPI | 1457602807 |
| Gender | Male |
| Enumeration Date | 09/26/2012 |
| Last Updated | 04/30/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 1501 HUGHES WAY SUITE 150 LONG BEACH CA, 90810-1876, US |
|
| Phone | (310) 221-6336 |
| Fax | |
| Business Location | |
|---|---|
| 1501 HUGHES WAY SUITE 150 LONG BEACH CA, 90810-1876, US |
|
| Phone | (310) 221-6336 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | California |
| License Number | IMF70021 |
| Remove 1457602807 NPI Number | |
According to our database, Wilmondson Lau M.A. NPI is 1457602807, taxonomy code is 101YM0800X and license number is IMF70021, license state is located at California. Wilmondson Lau M.A. physically located at 1501 Hughes Way, Long Beach CA, 90810-1876. NPI Number Wilmondson Lau M.A. has the Individual type.
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1457602807 NPI number is provided on an as is basis without warranty of any kind. 1457602807 is maintained by the National Plan & Provider Enumeration System. The contents of Wilmondson Lau M.A. are for informational purposes only.
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