De Godoy, Laiz Laura

De Godoy, Laiz Laura is an sole proprietor health care provider with primary practice located at 4701 Pine St Apt K10 , Philadelphia PA 19143-1880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as her primary health care specialty. De Godoy, Laiz Laura can be contacted via phone (267) 275-2085.

Contact Information

Primary practice address
4701 Pine St Apt K10 Philadelphia PA 19143-1880
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X LT000961 Pennsylvania

Profile Details

NPI number 1265123285
LBN Legal business name De Godoy, Laiz Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2023
Last updated May 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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