Individual
LAURA KATHERINE GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 808-1006
Mailing address
190 E 11TH ST, BLOOMSBURG, PA 17815-3804
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030366
PA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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