Individual
DR. LAURA J ZOELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S EAGLE RD, #2207, MERIDIAN, ID 83642-6354
(208) 288-0989
(208) 288-0976
Mailing address
520 S EAGLE RD, SUITE 2207, MERIDIAN, ID 83642-6354
(208) 288-0989
(208) 288-0976
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8106
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139256
BS
—
01
—
50427
BC
—
Enumeration date
11/21/2005
Last updated
07/08/2007
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