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General NPI Number Information
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NPI Number | 1881005767
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Entity Type | Organization
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Legal Business Name | GLENDY LAU O.D. P.C.
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 500 BAYBROOK MALL SUITE 1059
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City | FRIENDSWOOD
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State | TX
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Zip | 77546
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Country | US
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Telephone | 281-990-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 500 BAYBROOK MALL SUITE 1059
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City | FRIENDSWOOD
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State | TX
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Zip | 77546
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Country | US
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Telephone | 281-990-8522
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Fax | 281-218-6316
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. GLENDY LAU
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Credential | O.D.
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Telephone | 281-990-8522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7179TG
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License Number State | TX
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