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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 ID1538173380
PAC ID by PECOS6800807843
Professional Enrollment IDI20060505000427
NameLAURA J ALTAVILLA
Medical School NamePALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year1986
Primary SpecialtyCHIROPRACTIC
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address123 WHITNEY ST, , GARDNER, MA, 14403247
Hospital affiliation LBN
Graduation Year1986
Contact Number9786325885
Email Address[Show_Email_ID]

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