Individual
DR. LAURA E HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 S MOUNT AUBURN RD, SUITE 418, CAPE GIRARDEAU, MO 63703-4910
(573) 332-6000
(573) 332-6125
Mailing address
810 CARIBOU CT, CAPE GIRARDEAU, MO 63701-4946
(573) 332-1197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000170254
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205150907
—
MO
Enumeration date
09/13/2005
Last updated
08/03/2020
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