Individual
LAURA P SECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1043863
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36604
BCBS OF AL
AL
05
—
891001640
—
AL
01
—
S24118
VIVA
AL
Enumeration date
08/10/2006
Last updated
03/16/2013
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