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NPI Code Detail

MEDICARE: LAURA MAGAN MD

MEDICARE: LAURA MAGAN 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
1207R00000XInternal Medicine Physician29998AZ

General Provider Information

NPI Number : 1962441543
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MAGAN MD
Provider Business Mailing Address
First Line : 830 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4734
Country : US
Telephone Number : 401-273-7100
Fax Number :
Provider Business Practice Location Address
First Line : 830 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4734
Country : US
Telephone Number : 401-273-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 03/13/2026

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Directions to “ LAURA MAGAN MD” Practice Location

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