Healthcare Provider Details

I. General information

NPI: 1184994378
Provider Name (Legal Business Name): SHARON LAU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON LAU MSN

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD MC 5553
PALO ALTO CA
94304-1601
US

IV. Provider business mailing address

725 WELCH RD
PALO ALTO CA
94304-1601
US

V. Phone/Fax

Practice location:
  • Phone: 650-497-8800
  • Fax:
Mailing address:
  • Phone: 650-497-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number21353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: