Individual
LAURA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
99 CENTRAL AVE, ASHLAND, OR 97520-1787
(541) 482-7799
Mailing address
101 DEMOCRACY ST APT 108, YORKTOWN, VA 23693-5672
(757) 897-7507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA192432
OR
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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