Individual
DR. JACQUELINE MARIE LAURIN
Active
Individual
DR. JACQUELINE MARIE LAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D38858
MD
207RT0003X
Transplant Hepatology Physician
Primary
MD31154
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000911201
—
DE
05
—
029707900
—
DC
05
—
1000844000
—
WV
05
—
515111200
—
MD
01
—
P00404751
RAILROAD MEDICARE
DC
Enumeration date
05/23/2006
Last updated
07/27/2012
Update your record
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