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Individual

DR. LAURA ANNE BERTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 757-2141
(859) 441-1348
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-0497
(859) 282-1141

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
50179
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232170
OH
05
300009058
IN
05
7100490940
KY
Enumeration date
11/12/2006
Last updated
04/23/2019
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