Individual
DR. JACKSON LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
435 N ROXBURY DR STE 310, BEVERLY HILLS, CA 90210-5005
(310) 570-2508
Mailing address
435 N ROXBURY DR STE 310, BEVERLY HILLS, CA 90210-5005
(310) 570-2508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12975T
CA
152WP0200X
Pediatric Optometrist
Primary
OPT 12975
CA
Other
Enumeration date
01/02/2007
Last updated
04/22/2022
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