Individual
LAURA KATE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
15042 POQUESSING CREEK LN, PHILADELPHIA, PA 19116-1531
(215) 495-9710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/06/2023
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