Provider Demographics
NPI:1497965701
Name:LAU, LAWRENCE (LAC)
Entity type:Individual
Prefix:PROF
First Name:LAWRENCE
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MALAGA COVE PLZ STE 203
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-6813
Mailing Address - Country:US
Mailing Address - Phone:424-475-0333
Mailing Address - Fax:
Practice Address - Street 1:36 MALAGA COVE PLZ STE 203
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-6813
Practice Address - Country:US
Practice Address - Phone:424-475-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7774171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist