LAURA ELIZABETH PEDERSEN

SOMERSET, KY
NPI1225562010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  04600)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-18
Last Update Date2020-05-09
Business Address
LAURA ELIZABETH PEDERSEN
305 LANGDON ST
SOMERSET, KY 42503-2750
Phone number: 606-679-7441
Mailing Address
LAURA ELIZABETH PEDERSEN
1066 WHITE OAK AVE
MARYVILLE, TN 37803-2884
Phone number: 865-924-4995