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Individual
LAURA L TENNER
Active
Individual
LAURA L TENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11014025A
IN
207RH0003X
Hematology & Oncology Physician
Primary
Q0578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337188201
—
TX
01
—
337188202
CSHCN
TX
Enumeration date
06/08/2008
Last updated
06/02/2026
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