Individual
LAURA COSIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 45554, LACKLAND AFB, TX 78236-5638
(102) 292-6225
Mailing address
1100 WILFORD HALL LOOP BLDG 45554, LACKLAND AFB, TX 78236-5638
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2019-0242
NM
208000000X
Pediatrics Physician
VL4795
SC
Other
Enumeration date
08/01/2019
Last updated
09/24/2020
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