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Individual

DR. LAURA K FORTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4350
(330) 729-4351
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
(218) 722-8792

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35077776
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
35077776
OH
207VX0000X
Obstetrics Physician
65672
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2169442
OH
Enumeration date
09/27/2005
Last updated
07/11/2023
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