| NPI | 1194341214 |
|---|---|
| Doing Business As | MYLAUREL MEDICAL GROUP PA |
| Entity Type | Organization |
| Authorized Contact | LESLIE BALDRIDGE Credentialing 702-417-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-11-04 |