Individual
LAURA EISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4945
Mailing address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001082
DE
Other
Enumeration date
08/21/2016
Last updated
10/21/2016
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