Individual
DR. DIANA W LAU
Active
Individual
DR. DIANA W LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G77103
CA
207RR0500X
Rheumatology Physician
Primary
G77103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G771030
BLUE SHIELD
CA
05
—
00G771030
—
CA
01
—
660002220
RR MEDICARE
CA
Enumeration date
07/25/2006
Last updated
05/07/2008
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