Individual
LAURA L DIPUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2027 GREYSTONE SQ, JACKSON, TN 38305-3576
(731) 668-6882
(731) 668-6882
Mailing address
569 SKYLINE DR, JACKSON, TN 38301-3911
(731) 423-0975
(731) 424-5061
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000026903
TN
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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