Provider Demographics
NPI:1841228103
Name:CHIU, LAWRENCE ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ANTHONY
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6085 PASEO DEL RETIRO
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3344
Mailing Address - Country:US
Mailing Address - Phone:714-693-3953
Mailing Address - Fax:714-693-3953
Practice Address - Street 1:6085 PASEO DEL RETIRO
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3344
Practice Address - Country:US
Practice Address - Phone:714-693-3953
Practice Address - Fax:714-693-3953
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59281207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G592810Medicaid
CA00G592810Medicare PIN
E79783Medicare UPIN