Individual
LAURA ANN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1737 BEAM AVE, MAPLEWOOD, MN 55109-2185
(651) 770-3320
(651) 770-3684
Mailing address
1737 BEAM AVE, MAPLEWOOD, MN 55109-2185
(651) 770-3320
(651) 770-3684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312893800
—
MN
Enumeration date
07/25/2006
Last updated
10/05/2011
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