Individual
DR. KWAN NANG LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, 4TH FL PARKINSON PAVILION, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3133
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A117075
CA
208600000X
Surgery Physician
Primary
25MA12199000
NJ
208600000X
Surgery Physician
A117075
CA
208600000X
Surgery Physician
MD449786
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1170750
—
CA
Enumeration date
11/12/2008
Last updated
05/15/2024
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