JUANITA O LAO MD PC
Ambulatory Health at Lafayette Ave, Brooklyn, NY

License number
New York 115220
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JUANITA ONG LAO MD
Title: DIRECT OWNER
Phone: (718) 789-1116
Address
Address
333 Lafayette Ave SUITE PB, Brooklyn, NY 11238
National Provider ID: 1144511908
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JUANITA O. LAO, M.D., PC

333 Lafayette Ave, Brooklyn, NY 11238

Registration:
Mar 23, 1995
State ID:
1906462
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Juanita O. Lao M.d, 333 Lafayette Ave, Brooklyn, NY 11238 (Physical)

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