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Individual

LAURA FAYE GEPHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
311 W 24TH ST STE 101, ERIE, PA 16502-2668
(814) 452-4214
(814) 459-7823
Mailing address
311 W 24TH ST STE 101, ERIE, PA 16502-2668
(814) 452-4214
(814) 459-7823

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD469792
PA
207V00000X
Obstetrics & Gynecology Physician
Q0261
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
MD469792
PA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Q0261
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33987703
TX
01
H08HJ61101
BCBS
TX
Enumeration date
06/16/2010
Last updated
10/02/2020
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