# PATRICIA L LAQUA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588690903
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9807 | ND | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 06/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0124373 | MEDICA \# | ND |
| 01 | — | 0124374 | MEDICA \# | ND |
| 01 | — | 0124375 | MEDICA \# | ND |
| 05 | — | 13584 | — | ND |
| 01 | — | 181850 | UCARE \# | ND |
| 01 | — | 2444457 | AMERICA'S PPO-ARAZ \# | ND |
| 01 | — | 27243 | NDBS \# | ND |
| 01 | — | 648N0LA | MNBS \# | ND |
| 01 | — | 759S5LA | MNBS \# | MN |
| 05 | — | 816183600 | — | MN |
| 01 | — | DA9011045621 | PREFERRED ONE \# | ND |
| 01 | — | HP69894 | HEALTHPARTNERS \# | ND |