JUANITA O LAO MD PC NPI 1144511908

NPI Information

NPI: 1144511908
Provider Name: JUANITA O LAO MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
333 LAFAYETTE AVE
SUITE PB
BROOKLYN, NY
ZIP 11238
Phone: (718) 789-1116
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JUANITA O LAO MD PC is a primary care clinic center in Brooklyn, NY. JUANITA O LAO MD PC NPI is 1144511908. The provider is registered as an organization entity type.

The provider's business location address is:

333 LAFAYETTE AVE
SUITE PB
BROOKLYN, NY
ZIP 11238-350
Phone: (718) 789-1116

The provider's authorized official is Juanita Ong Lao .
The authorized official title is Direct Owner and has the following contact phone number (718) 789-1116.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 4/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	115220	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00211918	MEDICAID	NEW YORK
2	B12211	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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