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NPI Code Detail

MEDICARE: MR. PETER T LAO RPH

MEDICARE: MR. PETER T LAO RPH
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
11835P1200XPharmacotherapy Pharmacist038100NY
21835P1200XPharmacotherapy Pharmacist43868CA

General Provider Information

NPI Number : 1437145802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER T LAO RPH
Provider Business Mailing Address
First Line : 2221 146TH ST
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-3521
Country : US
Telephone Number : 718-445-2288
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7606
Country : US
Telephone Number : 718-518-5020
Fax Number : 718-716-8736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 07/08/2007

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