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Individual

DR. JONATHAN TONY LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PIMC - PNC PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A122262
CA

Other

Enumeration date
06/20/2011
Last updated
01/07/2020
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