Individual
LAURA LASECKI WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
23937 US HIGHWAY 98 STE 1, FAIRHOPE, AL 36532
(251) 458-0322
Mailing address
23937 US HIGHWAY 98 STE 1, FAIRHOPE, AL 36532-3354
(251) 928-6768
(251) 517-0501
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135000868
IL
Other
Enumeration date
06/17/2015
Last updated
05/10/2019
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