Individual
DR. LIISA L LAAKSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102206011
VA
2085R0202X
Diagnostic Radiology Physician
036058015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615363
BC GROUP
IL
05
—
036058015
—
IL
01
—
CB4562
TRAVELERS MEDICARE GRP
IL
01
—
P00386472
TRAVLERS INDIVIDUAL PIN
IL
Enumeration date
01/06/2006
Last updated
02/26/2024
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