Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 57.009592 | OH |
N | 208600000X | Surgeon | 57.009592 | OH |
Y | 2086S0129X | Vascular Surgeon | 37847 | AZ |
NPI | 1124242029 |
---|---|
Provider Name | Dr. Lannery Sioeli Lauvao |
First Address | Surprise, AZ 85374-7280 |
Second Address | Surprise, AZ 85374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 25/09/2018 |