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Individual

DR. LAURA LILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D. R.PH.

Contact information

Practice address
7185 AVALON BLVD, ALPHARETTA, GA 30009-2450
(678) 381-1420
Mailing address
7185 AVALON BLVD, ALPHARETTA, GA 30009-2450
(678) 381-1420
(734) 301-3209

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
165125
CA
207Q00000X
Family Medicine Physician
35.082537
OH
207Q00000X
Family Medicine Physician
39945
SC
207Q00000X
Family Medicine Physician
4301081315
MI
207Q00000X
Family Medicine Physician
Primary
65375
GA
207Q00000X
Family Medicine Physician
MD0000047548
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04366
PARAMOUNT
MI
01
0581011
BLUE CARE NETWORK
MI
01
0805810112
BLUE CROSS BLUE SHIELD
MI
05
2436920
OH
05
4526808
MI
01
7476538
AETNA
MI
Enumeration date
07/09/2006
Last updated
01/13/2021
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