Lau, Theodore
Lau, Theodore is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 307 , Tacoma WA 98405-5305. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Lau, Theodore can be contacted via phone (253) 627-1244.Contact Information
Primary practice address
1802 Yakima Ave Ste 307
Tacoma WA 98405-5305
Phone: (253) 627-1244
Fax: (253) 627-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00041200 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD00041200 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00041200 | Washington |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD00041200 | Washington |
Profile Details
| NPI number | 1205986312 |
|---|---|
| LBN Legal business name | Lau, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Sep 15th, 2021 - about 3 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 | 1205986312 | NPPES |
| Washington | Other | 0168601 | DEPARTMENT OF L&I |
| Washington | Other | P00008350 | DEPARTMENT OF L&I |
| Washington | Other | 1300LA | DEPARTMENT OF L&I |
| Washington | Other | 4751LA | DEPARTMENT OF L&I |
| Washington | Other | 1708LA | DEPARTMENT OF L&I |
| Washington | MEDICAID | 1004592 | DEPARTMENT OF L&I |
| Washington | Other | 1802LA | DEPARTMENT OF L&I |
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