Healthcare Provider Details

I. General information

NPI: 1154460657
Provider Name (Legal Business Name): HUGO LAU LAC, LMP, MS, NCTMB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 152ND AVE NE
REDMOND WA
98052
US

IV. Provider business mailing address

11436 NE 116TH PL
KIRKLAND WA
98034-7119
US

V. Phone/Fax

Practice location:
  • Phone: 425-653-3500
  • Fax: 425-814-8273
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002383
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00015914
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC5257
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC6519
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: