# LAURA PERLMUTTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043750474
- **Gender:** F
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 2701370194 | MI | — |
| 302R00000X | Health Maintenance Organization | 7501010094 | MI | Yes |

## Other

- **Enumeration date:** 03/04/2017
- **Last updated:** 03/04/2017