Individual
JOHN LAURIELLO
Active
Individual
JOHN LAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2009006926
MO
2084P0800X
Psychiatry Physician
94-296
NM
Other
Enumeration date
08/01/2006
Last updated
11/21/2019
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