Individual provider · NPI-1

Dr. Glen K. Lau, M.D.

Plastic Surgery · Oakland, CA

NPI number1073653150
StatusActive
Last updated in NPPESMar 11, 2013

Details

NPI
1073653150
Entity type
Individual (NPI-1)
Name
Dr. Glen K. Lau
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 7, 2007
Last updated
Mar 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryG28241CAYes

Practice location

80 Grand Ave
Ste. 810
Oakland, CA 94612-3725

Phone 510-451-6950

Mailing address

80 Grand Ave
Ste. 810
Oakland, CA 94612-3725

Phone 510-451-6950 · Fax 510-451-0785

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