| NPI | 1255591145 |
|---|---|
| Former Name | LAURA LORRAINE HABELOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202481) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-01-14 |