Individual
LAURA DRIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 HAMILTON ST, ALLENTOWN, PA 18101-2407
(610) 969-4370
(610) 969-3023
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018018546
MO
207R00000X
Internal Medicine Physician
Primary
MT218411
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT218411
PA
Other
Enumeration date
08/22/2018
Last updated
05/02/2023
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