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1750340592 NPI number — CHI TAI PETER LAU M.D.

NPI Number: 1750340592
Health Care Provider/Practitioner: CHI TAI PETER LAU M.D.

Information about “1750340592” NPI (CHI TAI PETER LAU M.D.) exists in 1750340592 in HTML format HTML  |  1750340592 in plain Text format TXT  |  1750340592 in PDF (Portable Document Format) PDF  |  1750340592 in an XML format XML  formats.

NPI Number : 1750340592 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750340592",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAU",
    "FirstName": "CHI TAI",
    "MiddleName": "PETER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5313",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHREVEPORT",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71135-5313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-798-4539",
    "MailingAddressFaxNumber": "318-798-4601",
    "FirstLinePracticeLocationAddress": "1015 OBRIE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ZWOLLE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71486-2510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-645-6161",
    "PracticeLocationAddressFaxNumber": "318-798-4601",
    "EnumerationDate": "03/21/2006",
    "LastUpdateDate": "08/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "MD.023409",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "023409",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "023409",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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