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General NPI Number Information
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NPI Number | 1124061734
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Entity Type | Organization
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Legal Business Name | MELANIE M. LAU, M.D., INC.
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 1329 LUSITANA STREET SUITE 406
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City | HONOLULU
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State | HI
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Zip | 96813-2412
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Country | US
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Telephone | 808-536-3690
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Fax | 808-536-1638
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA STREET SUITE 406
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City | HONOLULU
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State | HI
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Zip | 96813-2412
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Country | US
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Telephone | 808-536-3690
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Fax | 808-536-1638
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELANIE M. LAU
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Credential | M.D.
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Telephone | 808-536-3690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD-7538
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License Number State | HI
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