Individual
LAURA ROSE BADALUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 W BROADWAY, COUNCIL BLUFFS, IA 51501-3822
(712) 256-5600
(712) 256-3440
Mailing address
1701 W BROADWAY, COUNCIL BLUFFS, IA 51501-3822
(712) 256-5600
(712) 256-3440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
082615
IA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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