MEDICARE: LAONG LAAN U GARCIA MD

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
1	207P00000X	Emergency Medicine Physician	35804	MO

General Provider Information

NPI Number	:	1861469678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAONG LAAN U GARCIA MD

Provider Business Mailing Address
First Line	:	1066 N SPOEDE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5577
Country	:	US
Telephone Number	:	314-994-0679
Fax Number	:

Provider Business Practice Location Address
First Line	:	1066 N SPOEDE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5577
Country	:	US
Telephone Number	:	314-994-0679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	03/31/2008

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Directions to “ LAONG LAAN U GARCIA MD” Practice Location

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