Provider Demographics
NPI:1427549476
Name:LAO, HAYES YUEN (MD)
Entity Type:Individual
Prefix:MR
First Name:HAYES
Middle Name:YUEN
Last Name:LAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAYES
Other - Middle Name:Y
Other - Last Name:LAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:102 FAIRVIEW DR STE B
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1206
Mailing Address - Country:US
Mailing Address - Phone:757-562-2158
Mailing Address - Fax:757-516-8019
Practice Address - Street 1:102 FAIRVIEW DR STE B
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1206
Practice Address - Country:US
Practice Address - Phone:757-562-2158
Practice Address - Fax:757-516-8019
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2024-03-14
Deactivation Date:2019-01-22
Deactivation Code:
Reactivation Date:2019-02-04
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101271286207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist