Provider Demographics
NPI:1982690434
Name:GERBO, LAURENCE ROBERT (DDS, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:ROBERT
Last Name:GERBO
Suffix:
Gender:M
Credentials:DDS, MPH, MS
Other - Prefix:
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Mailing Address - Street 1:2 AV. DE SAVOIE
Mailing Address - Street 2:SERVICE DENTAIRE SCOLAIRE
Mailing Address - City:LAUSANNE
Mailing Address - State:VAUD
Mailing Address - Zip Code:1003
Mailing Address - Country:CH
Mailing Address - Phone:004121-315-6701
Mailing Address - Fax:004121-315-6700
Practice Address - Street 1:2 AV. DE SAVOIE
Practice Address - Street 2:SERVICE DENTAIRE SCOLAIRE
Practice Address - City:LAUSANNE
Practice Address - State:VAUD
Practice Address - Zip Code:1003
Practice Address - Country:CH
Practice Address - Phone:004121-315-6701
Practice Address - Fax:004121-315-6700
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL40271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics