Provider Information for 1841892403
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VICTORIA LAU
Sex: Female
NPI: 1841892403
Last Updated: 2020-11-09
Certification Date: 2020-11-09
Certification Date: 2020-11-09
Details
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NPI | 1841892403 | ||||||||
Enumeration Date | 2020-11-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1367 CAMBRIDGE RD SAN MARINO, CA 91108-1945 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1367 CAMBRIDGE RD SAN MARINO, CA 91108-1945 United States Phone: 626-590-6574 | Fax: | ||||||||
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