Individual
DR. LAURA L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1705 E. BROADWAY, SUITE 300, COLUMBIA, MO 65201-6863
(573) 449-9355
(573) 441-9355
Mailing address
1705 E. BROADWAY, SUITE 300, COLUMBIA, MO 65201-5852
(573) 449-9355
(573) 441-9355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
106052
MO
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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