Individual
LAURA S RAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 E VENICE AVE STE A, VENICE, FL 34292-3190
(941) 483-9779
(941) 483-9778
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME93830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201841070
TAX ID
FL
01
—
52604
BCBS
FL
Enumeration date
08/15/2006
Last updated
02/06/2024
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