Healthcare Provider Details

I. General information

NPI: 1548469505
Provider Name (Legal Business Name): LAU COMPANIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MILTON AVE
JANESVILLE WI
53545-0452
US

IV. Provider business mailing address

1802 GALLOWAY STREET
EAU CLAIRE WI
54703
US

V. Phone/Fax

Practice location:
  • Phone: 608-727-0123
  • Fax: 608-757-8700
Mailing address:
  • Phone: 715-831-8966
  • Fax: 715-831-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: SCOTT R LAU
Title or Position: PRESIDENT
Credential:
Phone: 715-831-8966