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LAURA J ALTAVILLA
123 WHITNEY ST GARDNER MA 14403247
LAURA J ALTAVILLA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1538173380. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6800807843. The primary specialty is CHIROPRACTIC. The organization is . The address is 123 WHITNEY ST, , GARDNER, MA, 14403247. The zip code is 14403247.
|Nation Provider ID||1538173380|
|PAC ID by PECOS||6800807843|
|Professional Enrollment ID||I20060505000427|
|Name||LAURA J ALTAVILLA|
|Medical School Name||PALMER COLLEGE CHIROPRACTIC - DAVENPORT|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||123 WHITNEY ST, , GARDNER, MA, 14403247|
|Hospital affiliation LBN|