Individual
KWAN YI LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Mailing address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8227
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
06/10/2025
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