Individual
DR. LAURO YAP ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
A49421
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
A049421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A494210
RENDERING PROVIDER NUMBER
CA
01
—
770208441
GROUP TAX ID
—
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
GROUP PTAN
—
Enumeration date
01/19/2007
Last updated
08/17/2016
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