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Individual

DAVID LAIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5108
Mailing address
PO BOX 15258, LOVES PARK, IL 61132-5258
(815) 654-7772
(815) 654-7009

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
IL

Other

Enumeration date
01/20/2006
Last updated
07/18/2007
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