Individual
LAURA A STANFIELD
Active
Individual
LAURA A STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2598
AZ
363AM0700X
Medical Physician Assistant
C0003860
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142435ZAKW
MEDICARE METRO
—
01
—
144937YZW
MARYLAND MEDICARE
—
01
—
145530100
DEPARTMENT OF LABOR
—
Enumeration date
01/17/2006
Last updated
12/07/2010
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