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NPI Code Detail

MEDICARE: MR. JOU HOU LAU PMHNP-BC

MEDICARE: MR. JOU HOU LAU PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024189763VA

General Provider Information

NPI Number : 1659131647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOU HOU LAU PMHNP-BC
Provider Business Mailing Address
First Line : 10304 EATON PL STE 100
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-2221
Country : US
Telephone Number : 571-463-8620
Fax Number : 571-999-7549
Provider Business Practice Location Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 571-463-8620
Fax Number : 571-999-7549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 05/22/2026

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