Individual
DR. LAURA MICHELLE MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 545-2131
Mailing address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 545-2131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A124572
CA
208000000X
Pediatrics Physician
Primary
M-17071
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/21/2011
Last updated
08/12/2024
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