Individual
MR. TAK YUN LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(484) 574-5170
Mailing address
3400 SPRUCE ST, DULLES BLDG, STE 680, PHILADELPHIA, PA 19104
(484) 574-5170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN550820
PA
Other
Enumeration date
11/10/2005
Last updated
09/03/2024
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