Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 12389 | NV |
N | 207Q00000X | Family Doctor | 45579 | TN |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101246566 | VA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME134121 | FL |
NPI | 1316071459 |
---|---|
Provider Name | Dr. Laura Ann Cunnington |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 23/04/2018 |