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General NPI Number Information
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NPI Number | 1548840721
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Entity Type | Individual
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Provider Name | KRISTYN M. LAO MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1351 WASHINGTON BLVD FL 5
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City | STAMFORD
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State | CT
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Zip | 06902-2419
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Country | US
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Telephone | 203-388-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 WASHINGTON BLVD FL 5
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City | STAMFORD
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State | CT
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Zip | 06902-2419
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Country | US
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Telephone | 203-388-1600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 317619
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1.080220
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License Number State | CT
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