Individual provider · Type 1 NPI

Laura Marie Stonborg

Specialist · Lake Grove, NY

NPI number 1447511613 Active

Practice location

57 Lakeside Ave
Lake Grove, NY 11755-1801

Call (631) 404-6018 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1447511613

Laura Marie Stonborg's National Provider Identifier is 1447511613, issued on Jun 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Grove, NY. The record was last updated on Jun 5, 2012.