Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | A66405 | CA |
Y | 207RX0202X | Medical Oncology | A66405 | CA |
NPI | 1114958501 |
---|---|
Provider Name | Dr. Luko Michael Laptalo |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95816-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 31/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G91476 | (02) |