Andres B Lao Jr MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANDRES B LAO JR MD

Doing business as

Andres B Lao Jr MD Inc

Practice address

75 Glamorgan St
Suite 102
Alliance, OH 44601-2938

Phone

(330) 821-8844

Fax

(330) 829-2191

NPI assigned

Sep 13, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andres B Lao Jr., MD

Title

President

Phone

(330) 821-8844

Specialties & licenses 1

Addresses

Other names 1

• ANDRES B LAO JR MD INC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1083719330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GLAMORGAN ST",
            "address_2": "SUITE 102",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012938",
            "telephone_number": "330-821-8844",
            "fax_number": "330-829-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES B LAO JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-821-8844",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDRES B LAO JR MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.