Individual
LAURA D. SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST, SUITE 290 N., WORCESTER, MA 01608-1216
(508) 368-3130
(508) 368-3133
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 368-3130
(508) 368-3133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
229942
MA
Other
Enumeration date
11/14/2008
Last updated
02/24/2009
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