Individual
MRS. LAURA ELIZABETH TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 TREE BLVD, SUITE 1, SAINT AUGUSTINE, FL 32084
(904) 824-4005
(904) 824-4009
Mailing address
3 SAN BARTOLA DR, SAINT AUGUSTINE, FL 32086-5767
(904) 823-8823
(904) 808-8587
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME82300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280998200
—
FL
Enumeration date
10/06/2006
Last updated
04/13/2011
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