Individual
KWAN HON VINCENT LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118-3549
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
270469
MA
2084N0400X
Neurology Physician
Primary
270469
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110129289A
—
MA
05
—
3116859
—
NH
Enumeration date
05/10/2013
Last updated
06/09/2023
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