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LAURENT ADLER
Geriatric Medicine >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1528132453
Individual Registrant: LAURENT ADLER
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3720 DAVINCI CT SUITE 400 NORCROSS, GA 30092-7627 US
Tel: 770-417-2018 Fax: 770-417-2020
Tel: 770-417-2018 Fax: 770-417-2020
Contact information for business:
3720 DAVINCI CT SUITE 400 NORCROSS, GA 30092-7627 US
Tel: 770-417-2018 Fax: 770-417-2020
Tel: 770-417-2018 Fax: 770-417-2020
Registration Information:
NPI: 1528132453
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RG0300X | Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine | GA | 47561 |
| N | 207RG0300X | Allopathic & Osteopathic Physicians Internal Medicine | NY | 198503 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00902602B | GA | 05 | |
| 01676677 | NY | 05 |
