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Individual

LAZARO RABANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4005 NW URBANDALE, URBANDALE, IA 50322-7914
(515) 643-9500
(515) 643-9525
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9500
(515) 643-9525

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34793
IA
207R00000X
Internal Medicine Physician
Primary
MD-34793
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0266189
IA
01
237429
MIDLANDS CHOICE
IA
Enumeration date
08/24/2006
Last updated
01/15/2015
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