Healthcare Provider Details

I. General information

NPI: 1801699046
Provider Name (Legal Business Name): EILEEN LAU YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EILEEN WANCHI LAU MD

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 CLAIRMONT RD NE
ATLANTA GA
30329-3330
US

IV. Provider business mailing address

2444 CLAIRMONT RD NE
ATLANTA GA
30329-3330
US

V. Phone/Fax

Practice location:
  • Phone: 404-964-7096
  • Fax:
Mailing address:
  • Phone: 404-964-7096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number58243
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: