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Individual
LAURA CLINE
Active
Individual
LAURA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039640A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01039640A
IN
2085R0202X
Diagnostic Radiology Physician
01039640A
IN
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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