Individual
JULIANA Y O'LAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151762
—
MT
01
—
1040319
PREFERRED ONE
—
01
—
12-03552
MEDICA CHOICE
—
01
—
12-09026
MEDICA PRIMARY
—
01
—
131404
UCARE
—
05
—
34447200
—
MN
05
—
344720
—
WI
01
—
730T60L
BCBS
—
01
—
B710
CHAMPUS/TRICARE
—
Enumeration date
05/22/2006
Last updated
07/09/2007
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