Individual
LAURENEE GAUVIN-COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11019 LAKE VICTORIA LN, BOWIE, MD 20720-4272
(407) 757-5176
Mailing address
11019 LAKE VICTORIA LN, BOWIE, MD 20720-4272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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