# LAUREEN ANN GALLO

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

## Provider details

- **NPI number:** 1740251305
- **Gender:** F
- **Credential:** CRNP MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0001194155 | VA | — |
| 363L00000X | Nurse Practitioner | AC000295 | MD | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 04/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146021800 | — | MD |