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LAURA COLLEEN REIFSTECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2021 K ST NW STE 600, WASHINGTON, DC 20006-1051
(202) 888-8365
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD203
HI
363AM0700X
Medical Physician Assistant
Primary
PA200001625
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54862001
HI
01
PA200001625
STATE LICENSE
DC
Enumeration date
07/04/2006
Last updated
01/09/2024
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