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Individual
MICHAEL J LAU
Active
Individual
MICHAEL J LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8976406
DRIVER'S LICENSE
CA
Enumeration date
04/22/2019
Last updated
01/21/2021
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