Provider Demographics
NPI:1821001645
Name:LAU, KUEN-CHINE (OD)
Entity Type:Individual
Prefix:DR
First Name:KUEN-CHINE
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 S DOGWOOD AVE
Mailing Address - Street 2:STE. 1334
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-7906
Mailing Address - Country:US
Mailing Address - Phone:760-336-3003
Mailing Address - Fax:888-210-5799
Practice Address - Street 1:3451 S DOGWOOD AVE
Practice Address - Street 2:STE. 1334
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-7906
Practice Address - Country:US
Practice Address - Phone:760-336-3003
Practice Address - Fax:888-210-5799
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA11166T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist