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Individual

DR. LAURA KATE TOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 IRVING ST NW STE 3400, WASHINGTON, DC 20010
(202) 877-3300
Mailing address
106 IRVING ST NW STE 3400, WASHINGTON, DC 20010-2965
(202) 877-3300

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD046456
DC
208200000X
Plastic Surgery Physician
MD60487179
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053610832
WA
Enumeration date
03/20/2011
Last updated
09/19/2018
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