Individual
DR. CHU KWAN LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G65881
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G65881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G658810
BLUE SHIELD
CA
01
—
460000308
RR MEDICARE
CA
01
—
460001209
MEDICARE RAILROAD
CA
05
—
OOG658810
—
CA
Enumeration date
07/31/2006
Last updated
10/06/2009
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