Individual
LAURIE TYAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 LILY POND CT, ROCKVILLE, MD 20852-4230
(240) 476-9101
Mailing address
18 LILY POND CT, ROCKVILLE, MD 20852-4230
(240) 476-9101
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0044719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725006100
—
MD
Enumeration date
11/07/2005
Last updated
12/05/2023
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