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Individual
MISS LAURIE K NEUBAUER
Active
Individual
MISS LAURIE K NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
163
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092183
BCBS PIN
MT
01
—
0432480
MDCD PIN
MT
01
—
123539700
MDCD PIN
WY
Enumeration date
09/20/2006
Last updated
06/06/2016
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