Individual
MR. DONNA LAULO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6TH MEDICAL GROUP, 6 MDOS/SGOPF, 8415 BAYSHORE BLVD, MACDILL AFB, FL 33621-1607
(813) 827-9248
(813) 827-9264
Mailing address
6TH MEDICAL GROUP,6 MDOS/SGOPF, 8415 BAYSHORE BLVD, MACDILL AFB, FL 33621-1607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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