Individual
DR. LAUREL ASHLIN THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3368
Mailing address
PO BOX 3631, FORT POLK, LA 71459-0631
(757) 613-5776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243843
VA
207P00000X
Emergency Medicine Physician
Primary
MD203518
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101307
—
LA
Enumeration date
06/16/2008
Last updated
03/20/2013
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