Individual
LAUREL SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W NIFONG BLVD, BLDG. 2, STE. 140, COLUMBIA, MO 65203-5615
(573) 882-7411
(573) 884-7140
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005024755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205481807
—
MO
Enumeration date
09/06/2006
Last updated
08/26/2008
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