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Individual
NICHOLAS J LAURIA
Active
Individual
NICHOLAS J LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004506
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00228670
RAILROAD MEDICARE
—
01
—
P00434813
RAILROAD MEDICARE
MI
Enumeration date
02/17/2006
Last updated
11/02/2011
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