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Individual

MS. JESSICA MAY LUM LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PPCNP-BC, RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
644977
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
21799
CA
363LP0200X
Pediatric Nurse Practitioner
382238
NY

Other

Enumeration date
09/14/2011
Last updated
11/12/2019
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