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Individual
KERRY ANNETTE LAURSEN
Active
Individual
KERRY ANNETTE LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170771301
—
TX
05
—
170773901
—
TX
05
—
170773902
—
TX
05
—
170773903
—
TX
05
—
170773904
—
TX
01
—
8EU201
BCBS
TX
01
—
8FT352
BCBS
TX
Enumeration date
08/10/2005
Last updated
01/11/2017
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