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Individual

ANDREA MICHELLE LAUFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25803
WV
208000000X
Pediatrics Physician
Primary
25803
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106896
OH
01
3069393
HIGHMARK BCBS
WV
05
3810027787
WV
05
7100307350
KY
Enumeration date
06/09/2010
Last updated
12/08/2021
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