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Individual

DR. STEPHEN C. LAU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 GORMAN AVE, SUITE 3, ELKINS, WV 26241-4109
(304) 637-8700
(304) 637-2323
Mailing address
PO BOX 1633, ELKINS, WV 26241-1633
(304) 637-8700
(304) 637-2323

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16413
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128953000
WV
01
1423749
UMWA
WV
01
197648
BLACK LUNG
WV
01
V004519
CHAMPUS
WV
01
WV16413
HEALTH PLAN
WV
Enumeration date
05/23/2006
Last updated
07/08/2007
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