Imelda P Lacayanga MD

NPI 1033145222 - Pediatrics - 208000000X

NPI Details
NPI 1033145222
Gender Female
Enumeration Date 06/23/2006
Last Updated 05/20/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
9427 SW BARNES RD
SUITE 396
PORTLAND OR, 97225-6652, US
Phone (503) 216-6550
Fax (503) 216-6575
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone
Fax (503) 215-6644
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD19170
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According to our database, Imelda P Lacayanga MD NPI is 1033145222, taxonomy code is 208000000X and license number is MD19170, license state is located at Oregon. Imelda P Lacayanga MD physically located at 9427 Sw Barnes Rd, Portland OR, 97225-6652. NPI Number Imelda P Lacayanga MD has the Individual type.

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1033145222 NPI number is provided on an as is basis without warranty of any kind. 1033145222 is maintained by the National Plan & Provider Enumeration System. The contents of Imelda P Lacayanga MD are for informational purposes only.