Individual provider · Type 1 NPI

Laura Ann Perrino, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1972945467 Active

Practice location

4400 W 95th St, Suite 205
Oak Lawn, IL 60453-2654

Fax (708) 346-3287

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085005321 (IL)
Medical Physician Assistant 363AM0700XPA.0003751 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1972945467

Laura Ann Perrino, PA-C's National Provider Identifier is 1972945467, issued on Jul 24, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 18, 2015.