Individual
DR. LAURA LYNNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203842
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03774502
—
MS
05
—
1102768
—
LA
Enumeration date
06/11/2008
Last updated
04/25/2013
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