Individual
DR. MARTHA LAURIN COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2005037588
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2005037588
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204145908
—
MO
Enumeration date
06/01/2007
Last updated
04/17/2025
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