Individual provider Active NPI

Lisa Tak-Hing Lau, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1962441063
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P8496 Issued in TX
Practice address
12822 Veterans Memorial Dr # 102
Houston, TX 77014-2049
Phone
(832) 779-3330
Fax
(832) 779-2475
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P8496 TX Primary

Addresses

Primary practice location

12822 Veterans Memorial Dr # 102
Houston, TX 77014-2049

Mailing address

4008 Louetta Rd # 101
Spring, TX 77388-4405
Phone (832) 779-3330

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 Medicine

State licenses

LicenseStateTypeSpecialty
P8496TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Pediatrics of Houston, PLLC. Pediatrics CurrentSince Jun 7, 2020 Accepting new patients
Kids Care Pediatrics, PA. Pediatrics Past Accepting new patients

Locations

12822 Veterans Memorial Dr
#102
Houston, TX 77014
Phone (832) 779-3330

12822 Veterans Memorial Dr
Houston, TX 77014
Phone (832) 779-3330

Interoperability endpoints

  • Direct secure messaging: lisa.lau.1@21741.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21741/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1962441063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 LOUETTA RD # 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884405",
            "telephone_number": "832-779-3330",
            "fax_number": "832-779-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 VETERANS MEMORIAL DR # 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142049",
            "telephone_number": "832-779-3330",
            "fax_number": "832-779-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "LISA",
        "middle_name": "TAK-HING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P8496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.