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NPI Code Detail

MEDICARE: LAURA ANN PIERI MD

MEDICARE: LAURA ANN PIERI 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
12084P0800XPsychiatry Physician29520AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245227917
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN PIERI MD
Provider Business Mailing Address
First Line : 10622 N SADDLE PASS RD
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-4504
Country : US
Telephone Number : 928-708-1697
Fax Number :
Provider Business Practice Location Address
First Line : 642 DAMERON DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86301-2411
Country : US
Telephone Number : 928-445-5211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2005
Last Update Date : 07/09/2007

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Directions to “ LAURA ANN PIERI MD” Practice Location

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