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Individual
LAURA ANN KOPACH
Active
Individual
LAURA ANN KOPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP024909
PA
363LA2100X
Acute Care Nurse Practitioner
SP024909
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024909
PA
Other
Enumeration date
02/07/2022
Last updated
06/09/2025
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