MEDICARE: DANA LAU APRN

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	363LF0000X	Family Nurse Practitioner	C-APN.0104852-C-NP	CO
2	363LF0000X	Family Nurse Practitioner	R0103316	OK
3	363LF0000X	Family Nurse Practitioner	53-84479.081	KS
4	363LF0000X	Family Nurse Practitioner	233896	AR
5	363LF0000X	Family Nurse Practitioner	2025036607	MO

General Provider Information

NPI Number	:	1922643477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LAU APRN

Provider Business Mailing Address
First Line	:	4055 VALLEY VIEW LN STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 NW EXPRESSWAY STE 800
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1804
Country	:	US
Telephone Number	:	405-613-6515
Fax Number	:

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

Provider Enumeration Date	:	11/07/2019
Last Update Date	:	09/12/2025

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