Provider Demographics
NPI:1891151551
Name:LAU, CHAD MUN KAI (NP)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:MUN KAI
Last Name:LAU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-1001 MEANUI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4215
Mailing Address - Country:US
Mailing Address - Phone:808-371-5500
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 1740
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4522
Practice Address - Country:US
Practice Address - Phone:808-777-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1438363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health