Organization
DIMMICK LAUGHLIN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LAUGHLIN (AUTHORIZED REP/OWNER/MD)
(417) 882-1818
Entity
Organization
Contact information
Practice address
1530 E PRIMROSE ST STE D, SPRINGFIELD, MO 65804-7910
(417) 882-1818
(417) 882-1821
Mailing address
1530 E PRIMROSE ST STE D, SPRINGFIELD, MO 65804-7910
(417) 882-1818
(417) 882-1821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MO
207ND0900X
Dermatopathology Physician
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427501394
—
MO
Enumeration date
07/27/2016
Last updated
10/13/2016
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