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Michael Leslie Lau

Rehabilitation Practitioner in Fremont, CA. Individual provider (NPI-1).

NPI number1841805074
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1841805074
Entity type
Individual (NPI-1)
Name
Mr. Michael Leslie Lau
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Jul 13, 2026
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
225C00000X Rehabilitation Counselor––
101Y00000X Counselor––

Practice location

39155 Liberty St Ste E500
Fremont, CA 94538-1516

Phone 510-574-2203

Mailing address

39155 Liberty St Ste E500
Fremont, CA 94538-1516

Phone 510-574-2203

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