DR. JEFFREY LAU (NPI# 1780036855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780036855 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LAU |
| Credential | D.O. |
| Practice Address |
210 N Lafayette St South Lyon MI 48178-2048 |
| Mailing Address |
18357 W 13 Mile Rd Apt 32 Southfield MI 48076-8009 |
| Practice Telephone | 2484371744 |
| Mailing Telephone | 5178621729 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 5101022732 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447889993 | Jeffrey Lau | Physical Therapist | 1633 Bayshore Hwy Ste 145, Burlingame, CA 94010-1530 | 2020-04-06 |
| 1356983696 | Jeffrey Waising Lau | Dentist | 6395 Keizer Station Blvd Ne Ste 101, Keizer, OR 97303-2305 | 2019-10-08 |
| 1629056320 | Jeffrey M Lau | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1329 Lusitana St, Suite 108, Honolulu, HI 96813-2429 | 2006-01-04 |
| Street Address |
210 N LAFAYETTE ST |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820463 | Thomas Joseph Anan | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2005-06-02 |
| 1801304928 | Danielle Marie Konja | Behavioral Analyst | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2018-01-11 |
| 1063949121 | Lauren Elizabeth Carney | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2017-05-18 |
| 1124471933 | Monica Kandola | Student in an Organized Health Care Education/Training Program | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2016-07-16 |
| 1053793067 | Steve Sungmin Kim | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2015-06-25 |
| 1649683590 | Maria Kostritsyna | Family Medicine | 210 N Lafayette St, Providence Medical Center, South Lyon, MI 48178-2048 | 2014-06-09 |
| 1982049003 | Lauren Powers | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2013-05-02 |
| 1295094407 | Nina Desai | Family Medicine | 210 N Lafayette St, Providence Medical Center, South Lyon, MI 48178-2048 | 2012-05-08 |
| 1104185693 | Renee Beth Stechow | Nurse Practitioner | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2012-05-03 |
| 1386937787 | Jonathon R Wolocko | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2011-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1124471933 | Monica Kandola | Student in an Organized Health Care Education/Training Program | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2016-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.