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Individual

DR. KIM K. LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
14213 AMBAUM BLVD SW, SEATTLE, WA 98166
(206) 243-9222
(206) 243-3343
Mailing address
14213 AMBAUM BLVD SW, SEATTLE, WA 98166
(206) 243-9222
(206) 243-3343

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO00000562
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000562
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108702
LABOR AND INDUSTRIES (WA)
WA
05
1098466
WA
01
1135430001
MEDICAL SUPPLY NUMBER
WA
01
362789100
US DEPT OF LABOR (DFEC)
WA
01
480027779
RAILROAD MEDICARE
WA
01
LA3297
REGENCE BLUE SHIELD
WA
Enumeration date
11/30/2006
Last updated
07/28/2010
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