Individual
DR. KIRKLAND LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2208 QUARRY DR, SUITE 206, READING, PA 19609-1158
(610) 685-2449
(610) 685-2401
Mailing address
404 ORCHARD VIEW RD, READING, PA 19606-3214
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
048389
CT
207N00000X
Dermatology Physician
OS012763
PA
207Q00000X
Family Medicine Physician
OS012763
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1743088
BLUE SHIELD
PA
01
—
P00968153
RAILROAD
TX
Enumeration date
09/21/2005
Last updated
01/05/2012
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