# DR. LAURA K FORTNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710973508
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 35077776 | OH | — |
| 207V00000X | Obstetrics & Gynecology Physician | 35077776 | OH | Yes |
| 207VX0000X | Obstetrics Physician | 65672 | WI | — |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 07/11/2023
