Organization
DR T LAU CHIROPRACTIC CORPORATION
Active
Other names
Vibrant Body Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA W LAU DC (PRESIDENT)
(510) 684-1281
Entity
Organization
Contact information
Practice address
1911 ADDISON ST STE 101, BERKELEY, CA 94704-1267
(510) 981-8348
Mailing address
630 THOMAS L BERKLEY WAY APT 507, OAKLAND, CA 94612-1865
(510) 684-1281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4193
LICENSE
CA
Enumeration date
02/10/2019
Last updated
06/11/2019
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