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1265710842 NPI number — LAURA FORTUNA PHARMD

NPI Number: 1265710842
Health Care Provider/Practitioner: LAURA FORTUNA PHARMD

Information about “1265710842” NPI (LAURA FORTUNA PHARMD) exists in 1265710842 in HTML format HTML  |  1265710842 in plain Text format TXT  |  1265710842 in PDF (Portable Document Format) PDF  |  1265710842 in an XML format XML  formats.

NPI Number : 1265710842 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265710842",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FORTUNA",
    "FirstName": "LAURA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRUBE",
    "OtherFirstName": "LAURA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1309",
    "SecondLineMailingAddress": "MAIL STOP: 21111B",
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55440-1309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-883-6807",
    "MailingAddressFaxNumber": "985-853-8829",
    "FirstLinePracticeLocationAddress": "401 PHALEN BLVD",
    "SecondLinePracticeLocationAddress": "MAIL STOP: 41103F",
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55130-5302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-254-7600",
    "PracticeLocationAddressFaxNumber": "651-254-7623",
    "EnumerationDate": "07/29/2011",
    "LastUpdateDate": "09/27/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "120500",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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