Individual
DR. JIANMING ALEXANDER LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 3RD ST 200, BELLEVILLE, MI 48111-2605
(734) 697-9065
(734) 697-9049
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301101446
BOARD OF MEDICINE
MI
01
—
5315056434
BOARD OF PHARMACY
MI
Enumeration date
07/09/2012
Last updated
10/24/2022
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