Healthcare Provider Details

I. General information

NPI: 1982514246
Provider Name (Legal Business Name): GINA ELIZABETH LAU CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7585 ALEXANDER HILLS ST
LAS VEGAS NV
89139-5695
US

IV. Provider business mailing address

7585 ALEXANDER HILLS ST
LAS VEGAS NV
89139-5695
US

V. Phone/Fax

Practice location:
  • Phone: 949-572-8902
  • Fax:
Mailing address:
  • Phone: 949-572-8902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number88239-AL-0
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: