| |
213 S 5th St Gadsden AL 35901-4217 | |
(256) 312-8939 | |
(256) 438-5132 |
Full Name | |
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Speciality | Family Medicine |
Location | 213 S 5th St, Gadsden, Alabama |
Authorized Official Name and Position | Yoyen A Lau (PHYSICIAN) |
Authorized Official Contact | 2563128939 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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213 S 5th St Gadsden AL 35901-4217 Ph: (256) 312-8939 | 213 S 5th St Gadsden AL 35901-4217 Ph: (256) 312-8939 |
NPI Number | 1467797803 |
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Provider Enumeration Date | 12/11/2012 |
Last Update Date | 02/03/2025 |
Medicare PECOS PAC ID | 2567604739 |
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Medicare Enrollment ID | O20130819000209 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467797803 | NPI | - | NPPES |
123504 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0638 (Alabama) | Primary |
Provider Name | Yoyen A Lau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376636134 PECOS PAC ID: 5395837017 Enrollment ID: I20070824000630 |
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