Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | N006051-1 | NY |
Y | 213ES0131X | Foot Surgery | SC005836 | PA |
NPI | 1356375190 |
---|---|
Provider Name | Dr. Laura Guerin |
First Address | Wyomissing, PA 19610-1605 |
Second Address | Wyomissing, PA 19610-1605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V02083 | (02) | NY |