Myron M Laban, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301024828 Issued in MI

Practice address

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073

Phone

(248) 288-2210

Fax

(248) 280-0505

NPI assigned

Nov 16, 2005

Last updated

Dec 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LMT Rehabilitation Associates,PC

  • Physical Medicine & Rehabilitation Physician
  • Royal Oak, MI
  • NPI 1154372746
  Medicare reassignment NPD
• LMT Rehabilitation Associates,PC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Macomb, MI
  • NPI 1265652994
  NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1104808120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-2210",
            "fax_number": "248-280-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-288-2210",
            "fax_number": "248-280-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAN",
        "first_name": "MYRON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301024828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia M Kwasneski, RN
• Leslie B Kyritses, PA
• L.D. Marion, MD, PLLC
• Justin Matthew L'Esperance, PA-C
• La Vie Pais Therapy Services PLLC
• Micaela C Lacey, OTR/L
• Adam Halladay Lackey, M.D.
• Brenda Karen Lacourse, PHD
• Rachel Laeng
• Richard Lagrandeur

• Physical Medicine & Rehabilitation Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.