Individual
DANIEL LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 N. DECATUR ROAD SUITE 200, DECATUR, GA 30033
(404) 719-4219
(404) 719-4231
Mailing address
1920 RIDGEMONT LN, DECATUR, GA 30033-4049
(678) 232-4463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6539
GA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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