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Individual

DANIEL LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDO

Contact information

Practice address
1620 WEBSTER STREET., ALAMEDA, CA 94501-2134
(510) 522-2811
Mailing address
1620 WEBSTER ST, ALAMEDA, CA 94501-2134
(510) 522-2811

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D7000
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CT0070000
CA
Enumeration date
01/29/2007
Last updated
07/08/2007
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