Individual
LAURA PESTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054
(503) 255-7651
Mailing address
6451 N FEDERAL HWY STE 800, FORT LAUDERDALE, FL 33308-1409
(954) 343-5825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
20A14732
CA
207RG0100X
Gastroenterology Physician
Primary
DO201076
OR
207RG0100X
Gastroenterology Physician
OS17799
FL
Other
Enumeration date
06/12/2013
Last updated
08/28/2024
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