Lau, Debra
Lau, Debra is an individual health care provider with primary practice located at 1005 Joe Dimaggio Dr , Hollywood FL 33021-5402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Lau, Debra can be contacted via phone (954) 265-5892.Contact Information
Primary practice address
1005 Joe Dimaggio Dr
Hollywood FL 33021-5402
Phone: (954) 265-5892
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME91029 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME91029 | Florida |
Profile Details
NPI number | 1548263684 |
---|---|
LBN Legal business name | Lau, Debra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Feb 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548263684 | NPPES |
Florida | MEDICAID | 270370000 | |
Florida | Other | 50336 |
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