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General NPI Number Information
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NPI Number | 1205842481
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN LAU MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-6019
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Fax | 410-706-6976
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Provider Business Mailing Address
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Address Line | PO BOX 64226
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City | BALTIMORE
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State | MD
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Zip | 21264-4226
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Country | US
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Telephone | 667-214-1720
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Fax | 410-706-6976
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301085841
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 4301085841
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | D88420
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License Number State | MD
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