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NPI Code Detail

MEDICARE: SERENA LAO PHARMD

MEDICARE: SERENA LAO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist67451TX

General Provider Information

NPI Number : 1306459219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENA LAO PHARMD
Provider Business Mailing Address
First Line : 2104 DAYBREAK TRL
Second Line :
City : PLANO
State : TX
Zip : 75093-3803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 INDEPENDENCE PKWY
Second Line :
City : PLANO
State : TX
Zip : 75075-9152
Country : US
Telephone Number : 972-596-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2020
Last Update Date : 08/29/2020

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