Individual
DR. NIDA K LAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9817 N 95TH ST STE 110, SCOTTSDALE, AZ 85258-4587
(480) 779-3997
(480) 779-1305
Mailing address
9817 N 95TH ST STE 110, SCOTTSDALE, AZ 85258-4587
(480) 779-3997
(480) 779-1305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1638817
CIGNA
AZ
05
—
955263
—
AZ
Enumeration date
06/08/2006
Last updated
08/12/2011
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