Lau, Dian

Lau, Dian is an individual health care provider with primary practice located at 520 S 19Th St Ste 1B, Philadelphia PA 19146-1449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Lau, Dian can be contacted via phone (215) 545-4173.

Contact Information

Primary practice address
520 S 19Th St Ste 1B Philadelphia PA 19146-1449
Phone: (215) 545-4173
Fax: (215) 545-1543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD052887L Pennsylvania

Profile Details

NPI number 1720085244
LBN Legal business name Lau, Dian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Sep 9th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720085244 NPPES
Pennsylvania Other LA780285 PA BLUE SHIELD
Pennsylvania MEDICAID 0015297620002 PA BLUE SHIELD
Pennsylvania MEDICAID 6568203 PA BLUE SHIELD

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