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Individual

LAURA MEJIA

Active
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Individual

LAURA MEJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446859
PA
207R00000X
Internal Medicine Physician
MT195381
PA
208M00000X
Hospitalist Physician
Primary
MD446859
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102763172
—
PA
05
—
207R00000X
—
PA
01
—
MD446859
MEDICAL PHYSICIAN AND SURGEON LICENSE
PA
Enumeration date
07/26/2011
Last updated
06/23/2017
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