MARY DE LAOSA

INDIANAPOLIS, IN
NPI1528697273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01090050A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-05
Last Update Date2023-06-20
Business Address
MARY DE LAOSA
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-948-2700
Mailing Address
MARY DE LAOSA
PO BOX 778912
CHICAGO, IL 60677-8912
Phone number: 317-777-6435