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Individual

MS. JENNIFER C LAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2035 LAKEVILLE RD FL 3, NEW HYDE PARK, NY 11040-1600
(516) 492-3297
(516) 492-3299
Mailing address
2035 LAKEVILLE RD FL 3, NEW HYDE PARK, NY 11040-1600
(516) 492-3297
(516) 492-3299

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17712
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
F307582
NY

Other

Enumeration date
08/15/2007
Last updated
05/16/2016
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