DR. Robert John Laciak, M.D.

NPI #1114196169 in Corvallis, Oregon

Provider Information

NPI Number: 1114196169
Entity Type: Individual
Name: DR. Robert John Laciak, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Feb 25, 2008
Last Updated: Nov 5, 2020

Practice Location

Address: 990 NW CIRCLE BLVD
Address 2: SUITE 102
City: Corvallis
State: Oregon
ZIP Code: 97330-1967
Phone: (541) 768-5486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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