Provider Demographics
NPI:1073657581
Name:LAU, SEE-LUN CECILIA (RPH, BCOP)
Entity Type:Individual
Prefix:MS
First Name:SEE-LUN
Middle Name:CECILIA
Last Name:LAU
Suffix:
Gender:F
Credentials:RPH, BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 COYOTE DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-1423
Mailing Address - Country:US
Mailing Address - Phone:626-256-4673
Mailing Address - Fax:626-930-5378
Practice Address - Street 1:1500 DUARTE RD
Practice Address - Street 2:DEPARTMENT OF PHARMACY SERVICES
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3012
Practice Address - Country:US
Practice Address - Phone:626-256-4673
Practice Address - Fax:626-930-5378
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455871835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology