Individual
DR. LAURA R PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12920 SUGARBLUFF RD, CLERMONT, FL 34715-6834
(407) 810-3148
Mailing address
12920 SUGARBLUFF RD, CLERMONT, FL 34715-6834
(407) 810-3148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME76046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254231500
—
FL
Enumeration date
09/27/2005
Last updated
01/25/2012
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