Individual
MISS LAURA EISENBREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(886) 225-8576
Mailing address
6845 FIRESTONE AVE NE, CANTON, OH 44721-2518
(330) 323-8601
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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