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Individual
DR. LAURA TIEDEMANN
Active
Individual
DR. LAURA TIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
323382
NY
207W00000X
Ophthalmology Physician
Primary
75075
CT
207W00000X
Ophthalmology Physician
MD477351
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
323382
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
75075
CT
Other
Enumeration date
03/27/2018
Last updated
07/07/2023
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