# LAURA PHYLLIS PERRY

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

## Provider details

- **NPI number:** 1912296799
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD215279 | OR | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 262749 | MA | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | A150677 | CA | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | MD215279 | OR | — |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 11/02/2023