Individual
LAURA J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
(573) 754-6055
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
(573) 754-6055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6J75
MO
Other
Enumeration date
10/12/2006
Last updated
09/01/2011
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