Individual
LAURA ALEXANDRA MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
600 COMMODORE CT UNIT 2604, PHILADELPHIA, PA 19146-5251
(610) 715-5782
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
SP018846
PA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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