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NPI Code Detail

MEDICARE: ELIZABETH JOSEPHINE LAU PA-C

MEDICARE:   ELIZABETH JOSEPHINE LAU  PA-C
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
1363A00000XPhysician Assistant034278NY

General Provider Information

NPI Number : 1447107073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JOSEPHINE LAU PA-C
Provider Business Mailing Address
First Line : 350 W 42ND ST APT 6K
Second Line :
City : NEW YORK
State : NY
Zip : 10036-6950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 MERCER UNIVERSITY DR
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4115
Country : US
Telephone Number : 347-495-8481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ ELIZABETH JOSEPHINE LAU PA-C” Practice Location

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