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NPI Code Detail

MEDICARE: LAURA MICHELLE DONALDSON DO

MEDICARE:   LAURA MICHELLE DONALDSON  DO
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
1208000000XPediatrics PhysicianOS010725LPA

General Provider Information

NPI Number : 1548264906
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MICHELLE DONALDSON DO
Provider Business Mailing Address
First Line : 44 2ND STREET PIKE
Second Line : STE 301
City : SOUTHAMPTON
State : PA
Zip : 18966-3830
Country : US
Telephone Number : 610-730-5322
Fax Number :
Provider Business Practice Location Address
First Line : 44 2ND STREET PIKE
Second Line : STE 301
City : SOUTHAMPTON
State : PA
Zip : 18966-3830
Country : US
Telephone Number : 610-730-5322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ LAURA MICHELLE DONALDSON DO” Practice Location

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