Individual
LAURA MAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29998
AZ
207R00000X
Internal Medicine Physician
ME117672
FL
208M00000X
Hospitalist Physician
Primary
ME117672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010027200
—
FL
01
—
14SH5
BCBSFL
FL
Enumeration date
06/06/2006
Last updated
03/13/2026
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