Michael M Lau (NPI# 1366531584, PAC ID# 2062412372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366531584 |
| PAC ID by PECOS | 2062412372 |
| Professional Enrollment ID | I20070219000000 |
| Full Name | Michael M Lau |
| Organization Legal Name | SOUTHWEST DIABETES CENTER PLLC |
| Address |
3800 W 24th St Suite 1 Yuma AZ 85364-9258 |
| Phone Number | 9283446450 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648255323 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030013 | YUMA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3800 W 24th St, Suite 1, Yuma, AZ 85364-9258 | 9283446450 | SOUTHWEST DIABETES CENTER PLLC |
| Organization Legal Name | SOUTHWEST DIABETES CENTER PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sergio Penaherrera | Internal Medicine | Southwest Diabetes Center Pllc | 3800 W 24th St, Suite 1, Yuma, AZ 85364-9258 |
| Jane J Ramirez | Nurse Practitioner | Southwest Diabetes Center Pllc | 3800 W 24th St, Suite 1, Yuma, AZ 85364-9258 |
| Street Address |
3800 W 24TH ST SUITE 1 |
| City | YUMA |
| State | AZ |
| Zip | 85364-9258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sergio Penaherrera | Internal Medicine | Southwest Diabetes Center Pllc | 3800 W 24th St, Suite 1, Yuma, AZ 85364-9258 |
| Jane J Ramirez | Nurse Practitioner | Southwest Diabetes Center Pllc | 3800 W 24th St, Suite 1, Yuma, AZ 85364-9258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bolaji Kehinde Adetiba | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 291 S Main St, Suite C, Yuma, AZ 85364-1435 |
| Ashley B Hart Ii | Psychologist, Clinical | 106 E 1st St, Suite D, Yuma, AZ 85364-1472 | |
| Shauna H Simpson | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 1950 W 3rd St, Yuma, AZ 85364-1812 |
| Frances E Davison | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 1950 W 3rd St, Yuma, AZ 85364-1812 |
| Cordelia M Holbert | Clinical Social Worker | 224 S 3rd Ave, Suite E216, Yuma, AZ 85364-2224 | |
| Lisa Ling | Nurse Practitioner | Community Intervention Associates Inc. | 410 S Maiden Ln, Yuma, AZ 85364-2319 |
| Mark S Plante | Physical Therapy | 381 S Main St, Yuma, AZ 85364-2340 | |
| Efoui Menyo Abotsi-kowu | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Lori L Burris | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Laura C Spindola | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Find all physicians in zip 85364 | |||
| City | YUMA |
| Zip Code | 85364 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | YUMA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael M Lau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.