Individual
SANTIAGO LAU LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25367 SW 132ND AVE, HOMESTEAD, FL 33032-5759
(786) 271-6859
Mailing address
25367 SW 132ND AVE, HOMESTEAD, FL 33032-5759
(786) 271-6859
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24366
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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