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General NPI Number Information
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NPI Number | 1497569487
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Entity Type | Individual
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Provider Name | ANGIE LAU
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1250 E MARSHALL ST
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City | RICHMOND
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State | VA
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Zip | 23298-5023
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Country | US
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Telephone | 707-344-5501
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 2 BOX 11392
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City | APO
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State | AE
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Zip | 09012-0114
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Country | US
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Telephone | 707-344-5501
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Fax |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95119801
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License Number State | CA
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