Individual
DR. DEBRA LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-5892
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
ME91029
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME91029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270370000
—
FL
01
—
50336
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2005
Last updated
02/22/2023
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