Provider Demographics
NPI:1316095607
Name:LAO, VINCENT (RN)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:LAO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4166A 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2850
Mailing Address - Country:US
Mailing Address - Phone:415-353-5050
Mailing Address - Fax:415-353-5059
Practice Address - Street 1:888 TURK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3118
Practice Address - Country:US
Practice Address - Phone:415-353-5050
Practice Address - Fax:415-353-5059
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN548913163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse