Tyau, Laurie
Tyau, Laurie is an individual health care provider with primary practice located at 18 Lily Pond Ct , Rockville MD 20852-4230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tyau, Laurie can be contacted via phone (240) 476-9101.Contact Information
Primary practice address
18 Lily Pond Ct
Rockville MD 20852-4230
Phone: (240) 476-9101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | D0044719 | Maryland |
Profile Details
| NPI number | 1639150758 |
|---|---|
| LBN Legal business name | Tyau, Laurie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Dec 5th, 2023 - about last year |
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 | 1639150758 | NPPES |
| Maryland | MEDICAID | 725006100 |
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