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Individual
LAURA B FLEINER
Active
Individual
LAURA B FLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005112
GA
363A00000X
Physician Assistant
1599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1599
TEMPORARY PERMIT NUMBER
GA
05
—
532267996A
—
GA
01
—
97WCJXH
MEDICARE
GA
Enumeration date
08/01/2007
Last updated
08/11/2014
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