Individual
DR. LAURA LEE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, DEPARTMENT OF PEDIATRIC REHABILITATION MEDICINE, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5612
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(904) 697-4096
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
C10010704
DE
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD447139
PA
208D00000X
General Practice Physician
MD447139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209511 00
—
MD
05
—
0399281
—
NJ
05
—
102876229
—
PA
Enumeration date
04/30/2008
Last updated
05/07/2014
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