Individual
LAURA E LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 W KENWOOD AVE, DECATUR, IL 62526
(217) 872-3800
(217) 872-0849
Mailing address
250 W KENWOOD AVE, DECATUR, IL 62526
(217) 872-3800
(217) 872-0849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002323
IL
Other
Enumeration date
12/23/2005
Last updated
10/22/2020
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