Individual
MARIAH LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 418-0952
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11189-33
WI
Other
Enumeration date
11/02/2021
Last updated
09/28/2022
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