MEDICARE: MELANIE M. LAU, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD-7538	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124061734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELANIE M. LAU, M.D., INC.

Provider Business Mailing Address
First Line	:	1329 LUSITANA STREET
Second Line	:	SUITE 406
City	:	HONOLULU
State	:	HI
Zip	:	96813-2412
Country	:	US
Telephone Number	:	808-536-3690
Fax Number	:	808-536-1638

Provider Business Practice Location Address
First Line	:	1329 LUSITANA STREET
Second Line	:	SUITE 406
City	:	HONOLULU
State	:	HI
Zip	:	96813-2412
Country	:	US
Telephone Number	:	808-536-3690
Fax Number	:	808-536-1638

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELANIE M. LAU
Credential	:	M.D.
Telephone Number	:	808-536-3690

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	10/12/2007

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Directions to “MELANIE M. LAU, M.D., INC. ” Practice Location

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