Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25760 | AZ |
NPI | 1003888751 |
---|---|
Provider Name | Robin Laks |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Gilbert, AZ 85234-5114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00014246 | BANNER HEALTH PLAN (01) | AZ |
025760 | MAYO INSURANCE (01) | AZ |
1Z6554 | HEALTHNET (01) | AZ |
473306 | (05) | AZ |
473306 | APIPA INSURANCE (01) | AZ |
4733060 | DEPT OF ECONOMIC SECURITY (01) | AZ |
860224023 | UNITED HEALTHCARE (01) | AZ |
AZ0866160 | BLUE CROSS BLUE SHIELD (01) | AZ |