Individual provider · Type 1 NPI

Robert John Laciak, MD

Urology Physician · Corvallis, OR

NPI number 1114196169 Active

Practice location

990 NW Circle Blvd, Suite 102
Corvallis, OR 97330-1967

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X6851346-1205 (UT)
Urology Physician Primary 208800000XMD152679 (OR)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1114196169

Robert John Laciak, MD's National Provider Identifier is 1114196169, issued on Feb 25, 2008. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Corvallis, OR. The record was last updated on Nov 5, 2020.