Individual
LAURA CONRAD WILBANKS
Active
Individual
LAURA CONRAD WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01081878A
IN
207W00000X
Ophthalmology Physician
Primary
89696
SC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
01081878A
IN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
89696
SC
Other
Enumeration date
06/04/2015
Last updated
06/02/2025
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