Individual
MRS. LAURA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT RCIS
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
611 CENTER ST, CLARKS SUMMIT, PA 18411-1923
(570) 587-5937
Taxonomy
Speciality
Code
Description
License number
State
246XC2901X
Cardiovascular Invasive Specialist/Technologist
00035990
—
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
356107
PA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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