Individual
ANDRES OMAR LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
15579 MIAMI LAKEWAY N APT 105, MIAMI LAKES, FL 33014-5588
(786) 603-4750
Mailing address
15579 MIAMI LAKEWAY N APT 105, MIAMI LAKES, FL 33014-5588
(786) 603-4750
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16670
WI
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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