Healthcare Provider Details

I. General information

NPI: 1386501518
Provider Name (Legal Business Name): CONNIE LAU
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 DELAWARE ST
DENVER CO
80204-4532
US

IV. Provider business mailing address

790 DELAWARE ST
DENVER CO
80204-4532
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-6000
  • Fax:
Mailing address:
  • Phone: 303-436-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0025317
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: