# LAURA J ANKRUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548233380
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 46621 021 | WI | — |
| 207Q00000X | Family Medicine Physician | 5101014524 | MI | — |
| 207Q00000X | Family Medicine Physician | DOS-1552 | HI | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 02/25/2021
