Provider Demographics
NPI:1669190930
Name:LAM LAU, LAURA ESTEFANY
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ESTEFANY
Last Name:LAM LAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12613 SEATTLE SLEW DR APT 3101
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5524
Mailing Address - Country:US
Mailing Address - Phone:313-782-1729
Mailing Address - Fax:
Practice Address - Street 1:35753 OWENS RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-6902
Practice Address - Country:US
Practice Address - Phone:936-931-0395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist