Individual
LAURA ELLEN REGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-2000
(319) 396-5567
Mailing address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-2000
(319) 396-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23619
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062935
—
IA
05
—
1336142637
—
IA
Enumeration date
05/31/2005
Last updated
05/17/2012
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