Laura E Street

NPI #1912223710 in Lackland Afb, Texas

Provider Information

NPI Number: 1912223710
Entity Type: Individual
Name: Laura E Street
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 19, 2010
Last Updated: Apr 19, 2010

Practice Location

Address: 59 MHS/SGOWV1, 2200 BERGQUIST DR STE 1
Address 2: WHMC/PSYCHIATRY
City: Lackland Afb
State: Texas
ZIP Code: 78236-9908
Phone: (210) 292-5941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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