Individual
JESSICA LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE STE 250, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1727
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD6104970
WA
207RP1001X
Pulmonary Disease Physician
62150
MN
207RP1001X
Pulmonary Disease Physician
Primary
MD61049470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159482
—
WA
Enumeration date
04/09/2014
Last updated
07/24/2020
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