Individual
JOHN A LAURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB CHB
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
26513
MN
207RX0202X
Medical Oncology Physician
Primary
26513
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233263900
—
MN
01
—
830008311
RAILROAD MEDICARE
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
WI
Enumeration date
01/10/2006
Last updated
07/31/2008
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