Individual
LAURA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NE 2ND AVE APT 617, MIAMI, FL 33137-5406
(281) 682-1363
Mailing address
5525 N STANTON ST APT 29G, EL PASO, TX 79912-6408
(281) 682-1363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME150404
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
07/26/2021
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