Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X011284-1 | NY |
NPI | 1003953720 |
---|---|
Provider Name | Dr. Laura Elizabeth Morse |
First Address | Ithaca, NY 14850-5222 |
Second Address | Ithaca, NY 14850-5222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |