Provider Demographics
NPI:1144298431
Name:LAU, GREGORY WEI-YIP (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:WEI-YIP
Last Name:LAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GREG
Other - Middle Name:
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2851 S AVENUE B
Mailing Address - Street 2:BUILDING 20
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7726
Mailing Address - Country:US
Mailing Address - Phone:928-336-2434
Mailing Address - Fax:928-336-2435
Practice Address - Street 1:2851 S AVENUE B
Practice Address - Street 2:SUITE 2001, BLDG 20
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7726
Practice Address - Country:US
Practice Address - Phone:928-336-2434
Practice Address - Fax:928-336-2435
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB59255207VX0000X, 207VM0101X
CAC54388207VM0101X
AZ43374207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics