Provider Demographics
NPI:1225214695
Name:COREY, CHRISTINA LAU (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LAU
Last Name:COREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2316 DWIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2212
Mailing Address - Country:US
Mailing Address - Phone:510-845-4500
Mailing Address - Fax:510-845-0360
Practice Address - Street 1:2316 DWIGHT WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2212
Practice Address - Country:US
Practice Address - Phone:510-845-4500
Practice Address - Fax:510-845-0360
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA101577207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery