Individual
MISS LAURA L. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 BRANDYWINE PKWY, STE 101, WILMINGTON, DE 19803-1554
(302) 633-3555
(302) 479-1559
Mailing address
1941 LIMESTONE RD, STE 101, WILMINGTON, DE 19808-5408
(302) 633-3555
(302) 633-3559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0000188
DE
363AS0400X
Surgical Physician Assistant
Primary
C5-0000188
DE
Other
Enumeration date
01/26/2006
Last updated
11/19/2015
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