Active NPI
Jeffrey Lau, D.O.
- Student in an Organized Health Care Education/Training Program
- South Lyon, MI
National Provider Identifier
1780036855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 5101022732
- Practice address
- 210 N Lafayette St
South Lyon, MI 48178-2048 - Phone
- (248) 437-1744
- NPI assigned
- Jul 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101022732 | MI | Primary |
Addresses
Primary practice location
210 N Lafayette St
South Lyon, MI 48178-2048
Mailing address
18357 W 13 Mile Rd
Apt 32
Southfield, MI 48076-8009
Phone (517) 862-1729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022732 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1780036855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18357 W 13 MILE RD",
"address_2": "APT 32",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480768009",
"telephone_number": "517-862-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481782048",
"telephone_number": "248-437-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101022732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.