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General NPI Number Information
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NPI Number | 1457792798
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Entity Type | Organization
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Legal Business Name | LISA KIU LAW, M.D., PLLC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 196 CANAL ST # 2
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City | NEW YORK
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State | NY
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Zip | 10013-4562
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Country | US
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Telephone | 212-227-1280
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Fax | 212-227-1270
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Provider Business Mailing Address
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Address Line | 196 CANAL ST # 2
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City | NEW YORK
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State | NY
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Zip | 10013-4562
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Country | US
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Telephone | 212-227-1280
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Fax | 212-227-1270
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA KIU LAW
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Credential | M.D.
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Telephone | 212-227-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 261290
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License Number State | NY
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