Provider Demographics
NPI:1720080120
Name:KALANGES, LAURI (MD)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:
Last Name:KALANGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19665
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2179
Mailing Address - Country:US
Mailing Address - Phone:775-843-6665
Mailing Address - Fax:
Practice Address - Street 1:1 NEWLANDS CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1322
Practice Address - Country:US
Practice Address - Phone:775-843-6665
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMD6645208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE97617Medicare UPIN
NV39726Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE