Individual
LAURA KIMBERLEY GONZALEZ
Active
Individual
LAURA KIMBERLEY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2008009076
MO
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
264679
NY
Other
Enumeration date
09/14/2006
Last updated
09/04/2012
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