MEDICARE: DR. LINDSEY YUM KIN LAU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DT 1741	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275530578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSEY YUM KIN LAU DDS

Provider Business Mailing Address
First Line	:	45-1151 KAM HWY
Second Line	:	STE C
City	:	KANEOHE
State	:	HI
Zip	:	96744-3211
Country	:	US
Telephone Number	:	808-247-1144
Fax Number	:	808-247-7474

Provider Business Practice Location Address
First Line	:	45-1151 KAM HWY
Second Line	:	STE C
City	:	KANEOHE
State	:	HI
Zip	:	96744-3211
Country	:	US
Telephone Number	:	808-247-1144
Fax Number	:	808-247-7474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/08/2007

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