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Individual
MS. ANGELA P LAUBE
Active
Individual
MS. ANGELA P LAUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109310
FL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA9109310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017334600
—
FL
01
—
IN651W
PTAN
FL
01
—
Y01T7
BCBS FL
FL
Enumeration date
11/05/2015
Last updated
07/10/2019
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