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Individual

DR. LAURA MARIE SUPPA SAMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4202 MACCORKLE AVE SE, CHARLESTON, WV 25304-2502
(304) 925-4761
(304) 925-0310
Mailing address
4202 MACCORKLE AVE SE, CHARLESTON, WV 25304-2502
(304) 925-4761
(304) 925-0310

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002-IOD1
WV

Other

Enumeration date
07/29/2013
Last updated
01/12/2022
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