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Individual

LAUREPHILE DESROSIERS

Active
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Individual

LAUREPHILE DESROSIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
DO.000452
LA
207VG0400X
Gynecology Physician
DO.000452
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01873263
MS
05
2398105
LA
Enumeration date
06/16/2008
Last updated
10/20/2016
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