Individual
DR. GIAVANNA LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 CAISSON HILL RD, IRWIN ARMY COMMUNITY HOSPITAL, FT RILEY, KS 66442-7037
(402) 469-0643
Mailing address
354 OLOMANA ST, KAILUA, HI 96734-2217
(402) 469-0643
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22760
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04304
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/18/2005
Last updated
04/02/2013
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