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Individual

LAURA A CASERTA

Active
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Individual

LAURA A CASERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-079366
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000219524
ANTHEM
OH
01
000000221159
UNISON
OH
01
000000525912
ANTHEM
OH
05
1011645480001
PA
01
2270582
BCMH
OH
05
2270582
OH
01
363401
WELLCARE
OH
01
738039
BUCKEYE
OH
01
7695267
AETNA
OH
Enumeration date
07/20/2006
Last updated
01/05/2010
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