Individual
MRS. LAURA A BOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1144 W. PLYMOUTH ST., BREMEN, IN 46506
(574) 546-5363
(574) 546-2575
Mailing address
1144 W PLYMOUTH ST, BREMEN, IN 46506-1842
(574) 546-5363
(574) 546-2575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068122A
IN
Other
Enumeration date
04/10/2007
Last updated
05/15/2018
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