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Individual
LAURA M MCDONALD
Active
Individual
LAURA M MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
003676
CT
363LF0000X
Family Nurse Practitioner
Primary
20461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
01
—
680365296
PROVIDER TAX ID
CA
Enumeration date
09/14/2007
Last updated
07/25/2018
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