Individual
JAMIE ANN LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3317 PENN AVE, READING, PA 19609-1436
(610) 750-7894
(610) 750-7896
Mailing address
3317 PENN AVE, READING, PA 19609-1436
(610) 750-7894
(610) 750-7896
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA055131
PA STATE LICENSE
PA
Enumeration date
09/29/2011
Last updated
08/27/2018
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