Individual
MR. THOMAS P LABERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423
Mailing address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA30
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554062
—
AL
01
—
0910703
UNITED HEALTHCARE
AL
01
—
51517478
BCBS
AL
Enumeration date
03/27/2006
Last updated
02/02/2010
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