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Individual

LAURA A. GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
470 TAYLOR ROAD, MONTGOMERY, AL 36117-3563
(334) 226-4048
Mailing address
2151 OLD ROCKY RIDGE RD, STE 106, VESTAVIA HILLS, AL 35216-7251
(205) 989-1080

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-059099
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000034079
AL
05
169011
AL
01
511-58357
BCBS
AL
01
P01673475
MEDICARE RR
AL
Enumeration date
04/27/2006
Last updated
09/23/2019
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