Individual
DR. LAURA G DEICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 W SPRING ST, SUITE 200, SYLACAUGA, AL 35150-2973
(256) 245-5241
(256) 245-0194
Mailing address
209 W SPRING ST, SUITE 200, SYLACAUGA, AL 35150-2973
(256) 245-5241
(256) 245-0194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009971290
—
AL
01
—
110229292
RAILROAD MEDICARE
AL
01
—
51504822
BLUE CROSS
AL
Enumeration date
07/28/2006
Last updated
05/16/2008
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