NPI 1154308815

Laura E Law, PAC

Practitioner Medical Physician Assistant Decatur, IL

Practice location

Address: 250 W Kenwood Ave, Decatur, IL 62526
Phone: (217) 872-3800
Fax: (217) 872-0849

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 085-002323 (IL)

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Registry record

NPI: 1154308815
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2005
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.