Individual
LAURA A FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
418 N WEBB RD, GRAND ISLAND, NE 68803-4045
(308) 384-9300
(308) 384-4542
Mailing address
PO BOX 5436, GRAND ISLAND, NE 68802-5436
(308) 384-9300
(308) 384-4542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01880
BCBS OF NE
NE
05
—
10025016800
—
NE
Enumeration date
03/28/2006
Last updated
07/21/2022
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