Provider Information for 1730136631
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Dr. HAKLAI PAUL LAU MD
Sex: Male
NPI: 1730136631
Last Updated: 2022-09-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1730136631 | ||||||||||||||
| Enumeration Date | 2006-05-27 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 100 GRAND ST NEW BRITAIN, CT 06052-2016 United States Phone: 860-224-5305 | Fax:860-224-5565 | ||||||||||||||
| Primary Practice Address | 100 GRAND ST MEDICAL STAFF OFFICE NEW BRITAIN, CT 06052-2016 United States Phone: 860-224-5305 | Fax:860-224-5565 | ||||||||||||||
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