Individual
LAURA MORRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
151 S BISHOP AVE APT M209, SECANE, PA 19018-1954
(516) 557-7373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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