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Individual
LAURIE CYNTHIA CROWE
Active
Individual
LAURIE CYNTHIA CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118084604
—
TX
01
—
118084605
MEDICAID (TARRANT)
TX
01
—
310908YL7A
MEDICARE - OTHER COUNTY
TX
01
—
310908YNGS
MEDICARE PTAN - TARRANT
TX
Enumeration date
04/18/2006
Last updated
05/24/2016
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