HomeNPI Verification

NPI Verification

National Provider Identifier: 1114196169

Robert John Laciak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

990 NW CIRCLE BLVD

SUITE 102

CORVALLIS, OR 973301967

Phone: 541-768-5486

NPI Enumeration Date

February 25, 2008

NPI Number

1114196169

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry