Individual
DR. FRED G LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13100 STUDEBAKER RD, NORWALK, CA 90650-2531
(562) 868-3751
(562) 868-9742
Mailing address
3350 E BIRCH ST, SUITE #105, BREA, CA 92821-6264
(714) 646-8649
(714) 646-8650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K4121
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G71747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105245802
—
TX
Enumeration date
12/29/2005
Last updated
03/04/2011
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