Individual
LAURA ELIZABETH COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
(260) 432-9812
Mailing address
5734 COVENTRY LANE, FORT WAYNE, IN 46804
(260) 436-7875
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01079103
IN
Other
Enumeration date
04/16/2013
Last updated
09/26/2017
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