Individual
DR. WAYNE M LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4011 TALBOT RD S, STE 420, RENTON, WA 98055-5773
(425) 251-1322
(425) 656-4063
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-7458
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00033753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024043
—
WA
01
—
109517
DEPT OF L&I
WA
Enumeration date
01/04/2007
Last updated
09/24/2013
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