Healthcare Provider Details

I. General information

NPI: 1902286206
Provider Name (Legal Business Name): KATHARINA LAUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DUBLIN BLVD
DUBLIN CA
94568-7213
US

IV. Provider business mailing address

8043 CROSSRIDGE RD
DUBLIN CA
94568-3496
US

V. Phone/Fax

Practice location:
  • Phone: 925-556-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA160748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: