Individual
MS. LAURA BETH THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
Mailing address
25200 267TH ST, PRINCETON, IA 52768-9736
(563) 349-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001717
IA
Other
Enumeration date
08/18/2006
Last updated
05/08/2014
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