Robert John Laciak, M.D.

Urology Physician · Corvallis, OR

Individual Active NPI

NPI number 1114196169

Practice location

990 NW Circle Blvd
Suite 102
Corvallis, OR 97330-1967
Phone
(541) 768-5486

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NPI record

NPI
1114196169
Entity type
Individual (Type 1)
Enumeration date
February 25, 2008
Last updated
November 5, 2020
Certified
November 5, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X MD152679 OR
Urology Physician 208800000X 6851346-1205 UT

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

About Dr. Laciak

Robert John Laciak, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 990 NW Circle Blvd, Suite 102, Corvallis, OR 97330-1967. The NPI number 1114196169 was assigned on February 25, 2008 and the record was last updated on November 5, 2020.

Dr. Laciak lists 2 licenses in the registry: #MD152679 (OR) for Urology Physician; #6851346-1205 (UT) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert John Laciak, M.D.?

The NPI number is 1114196169.

What is the phone number of Dr. Laciak?

The phone number listed for the practice location is (541) 768-5486.

Where is Dr. Laciak located?

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

What is the taxonomy code for Dr. Laciak?

The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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