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Individual

LAURA CONRAD WILBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 588-0550
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
(843) 792-3072

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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