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NPI Code Detail

MEDICARE: DR. LAURA MARIE SIEBER MD

MEDICARE: DR. LAURA MARIE SIEBER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianU1693TX

General Provider Information

NPI Number : 1033551205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA MARIE SIEBER MD
Provider Business Mailing Address
First Line : 205 E UNIVERSITY AVE STE 200
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-6821
Country : US
Telephone Number : 512-994-1933
Fax Number :
Provider Business Practice Location Address
First Line : 605 OLD AUSTIN HWY
Second Line :
City : BASTROP
State : TX
Zip : 78602-5034
Country : US
Telephone Number : 877-800-5722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2013
Last Update Date : 03/04/2024

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