Organization · NPI-2

Glen Kee Lau, MD INC

Plastic Surgery · Oakland, CA

NPI number1265572440
StatusActive
Last updated in NPPESOct 17, 2017

Details

NPI
1265572440
Entity type
Organization (NPI-2)
Legal business name
Glen Kee Lau, MD INC
Organization subpart
No
Enumeration date
Feb 7, 2007
Last updated
Oct 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryG28241CAYes

Practice location

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

Phone 510-451-6950 · Fax 510-451-0785

Mailing address

80 Grand Ave
Ste, 800
Oakland, CA 94612-3725

Phone 510-451-6950 · Fax 510-451-0785

Authorized official

Glen K Lau
Owner
5104516950

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