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Individual
LAURETTE MACKINNON
Active
Individual
LAURETTE MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2116
MA
111N00000X
Chiropractor
Primary
CH11727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36564
BCBSMA INDIVIDUAL NUMBER
MA
01
—
Y39421
BCBSMA GROUP NUMBER
MA
Enumeration date
01/01/2007
Last updated
02/18/2020
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