Organization
RAFAEL LAO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL LAO M.D. (OWNER)
(812) 882-6124
Entity
Organization
Contact information
Practice address
700 WILLOW ST, SUITE 100, VINCENNES, IN 47591-1028
(812) 882-6124
(812) 882-8620
Mailing address
PO BOX 232, VINCENNES, IN 47591-0232
(812) 882-6124
(812) 882-8620
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
10142614A
IN
Other
Enumeration date
11/27/2012
Last updated
12/11/2012
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