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Individual

LAURA K LASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
029275
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD434220
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010029275CT03
ANTHEM BC/BS
CT
01
0V2167
HEALTH NET
CT
01
2059761
AETNA - NON-PAR ID
CT
01
765694
CONNECTICARE
CT
01
P1038298
OXFORD HEALTH PLAN
CT
01
TIN
GREAT WEST
Enumeration date
08/14/2006
Last updated
09/05/2019
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