Individual
LAURA MARIE MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
510 SMALTZ WAY, AUBURN, IN 46706-1412
(260) 927-1756
(260) 927-1772
Mailing address
6920 POINTE INVERNESS WAY SUITE 200, FORT WAYNE, IN 46804
(260) 927-2175
(260) 927-1772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006539A
IN
207Q00000X
Family Medicine Physician
11021257A
IN
Other
Enumeration date
06/19/2020
Last updated
09/05/2023
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