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NPI Code Detail

MEDICARE: DR. LAURA SARA EDET DC

MEDICARE:  DR. LAURA SARA EDET  DC
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
1111N00000XChiropractor13835FL
2111N00000XChiropractorS04174VA

General Provider Information

NPI Number : 1871252940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA SARA EDET DC
Provider Business Mailing Address
First Line : 9135 PISCATAWAY RD STE 310
Second Line :
City : CLINTON
State : MD
Zip : 20735-2566
Country : US
Telephone Number : 240-244-2818
Fax Number :
Provider Business Practice Location Address
First Line : 9135 PISCATAWAY RD STE 310
Second Line :
City : CLINTON
State : MD
Zip : 20735-2566
Country : US
Telephone Number : 240-244-2818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2021
Last Update Date : 05/09/2023

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Directions to “ DR. LAURA SARA EDET DC” Practice Location

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