Individual
CARRIE ANN LAITURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
(954) 981-0188
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME119964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013105000
—
FL
Enumeration date
09/30/2008
Last updated
01/17/2023
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