Laura Elizabeth Theismann, MT-BC

NPI #1366792954 in Columbia, South Carolina

Provider Information

NPI Number: 1366792954
Entity Type: Individual
Name: Laura Elizabeth Theismann, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MT-BC
Enumeration Date: Sep 11, 2012
Last Updated: Apr 24, 2013

Practice Location

Address: 1931 BULL ST
City: Columbia
State: South Carolina
ZIP Code: 29201-2560
Phone: (678) 414-3042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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