Provider Demographics
NPI:1932284106
Name:LAU, HEUNG M (NP)
Entity Type:Individual
Prefix:
First Name:HEUNG
Middle Name:M
Last Name:LAU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1900 POWELL ST
Mailing Address - Street 2:SUITE #910
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 POWELL ST
Practice Address - Street 2:SUITE #910
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1811
Practice Address - Country:US
Practice Address - Phone:510-653-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16440363LP0808X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health