Individual
LAURA O DUGAN
Active
Individual
LAURA O DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01038617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379705
ANTHEM
IN
01
—
000000379709
ANTHEM
IN
01
—
005189
SIHO
IN
01
—
067866
SIHO
IN
01
—
071706
HEALTH ALLIANCE
IN
05
—
100383780
—
IN
01
—
111287
HEALTH ALLIANCE
IN
01
—
Q0071707
CMO/SHO
IN
Enumeration date
12/15/2005
Last updated
02/27/2024
Update your record
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