Individual
REBECCA E LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
313 SOUTH AVE, FANWOOD, NJ 07023-1364
(908) 301-2600
Mailing address
313 SOUTH AVE, FANWOOD, NJ 07023-1364
(908) 301-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00145800
NJ
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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