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Organization
KENNETH J LAURORA MD PA
Active
Organization
KENNETH J LAURORA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J LAURORA MD (PRESIDENT)
(936) 327-1020
Entity
Organization
Contact information
Practice address
400 BYPASS LN STE 111, LIVINGSTON, TX 77351-7380
(936) 327-1020
(936) 327-1022
Mailing address
400 BYPASS LN STE 111, LIVINGSTON, TX 77351-7380
(936) 327-1020
(936) 327-1022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158661202
—
TX
05
—
296647501
—
TX
05
—
296647502
—
TX
Enumeration date
10/04/2010
Last updated
01/14/2015
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