Individual
DR. ERNESTO LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30795 23 MILE RD, SUITE 205, CHESTERFIELD, MI 48047-5720
(586) 421-3150
(586) 421-3151
Mailing address
30795 23 MILE RD, SUITE 205, CHESTERFIELD, MI 48047-5720
(586) 421-3150
(586) 421-3151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301065252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4243508
—
MI
Enumeration date
07/18/2006
Last updated
02/11/2015
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