MS. Laura Marie Stonborg
NPI #1447511613 in Lake Grove, New York
Provider Information
- NPI Number
- 1447511613
- Entity Type
- Individual
- Name
- MS. Laura Marie Stonborg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 57 LAKESIDE AVE
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-1801
- Phone
- (631) 404-6018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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