Individual
JOHN SENG UNG LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
784 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2271
(772) 878-7311
(772) 878-7321
Mailing address
784 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2271
(772) 878-7311
(772) 878-7321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270440400
—
FL
01
—
P00744013
RR MEDICARE
FL
Enumeration date
06/30/2005
Last updated
10/19/2009
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