MEDICARE: DR. GARY T LAU DC

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	111N00000X	Chiropractor	15283	CA

General Provider Information

NPI Number	:	1770688442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY T LAU DC

Provider Business Mailing Address
First Line	:	2335 IRVING ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1620
Country	:	US
Telephone Number	:	415-681-3883
Fax Number	:	415-681-4570

Provider Business Practice Location Address
First Line	:	2335 IRVING ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1620
Country	:	US
Telephone Number	:	415-681-3883
Fax Number	:	415-681-4570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. GARY T LAU DC” Practice Location

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