Individual
TIFFANY MEGAN LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3840 ATMORE GROVE DR, LUTZ, FL 33548-7903
(813) 607-3600
Mailing address
1937 SWEETBROOM CIR APT 302, LUTZ, FL 33559-8741
(316) 554-6064
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME150475
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2017
Last updated
07/20/2021
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