Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | KY29534 | KY |
NPI | 1023109758 |
---|---|
Provider Name | Alberto N Laureano |
First Address | Lexington, KY 40503-1404 |
Second Address | Lexington, KY 40503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 28/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64295348 | (05) | KY |
F57244 | (02) |