Individual
DIAN LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S 19TH ST, STE 1B, PHILADELPHIA, PA 19146-1449
(215) 545-4173
(215) 545-1543
Mailing address
520 S 19TH ST, STE 1B, PHILADELPHIA, PA 19146-1449
(215) 545-4173
(215) 545-1543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD052887L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015297620002
—
PA
05
—
6568203
—
NJ
01
—
LA780285
PA BLUE SHIELD
PA
Enumeration date
06/30/2005
Last updated
09/09/2015
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