Individual
LAURA G DENUNZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
323 CONSORT DR, BALLWIN, MO 63011-4439
(804) 433-1040
Mailing address
323 CONSORT DR, BALLWIN, MO 63011-4439
(804) 433-1040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101248017
VA
2084P0800X
Psychiatry Physician
Primary
FD2363911
AZ
Other
Enumeration date
05/04/2007
Last updated
04/24/2012
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