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Individual

LAURA MICHELLE SPECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
327 E CESAR CHAVEZ ST, AUSTIN, TX 78701-4577
(512) 615-3280
(512) 546-7340
Mailing address
327 E CESAR CHAVEZ ST, AUSTIN, TX 78701-4577
(512) 615-3280
(512) 666-3763

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P0299
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2825861-01
TX
01
8CW890
BCBSTX
TX
Enumeration date
07/01/2008
Last updated
02/06/2019
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