Laurie Lynn Malmstrom MD

NPI 1093732091 - Emergency Medicine - 207PP0204X

NPI Details
NPI 1093732091
Gender Female
Enumeration Date 07/16/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
701 GROVE RD
GMH ER ADMINISTRATION
GREENVILLE SC, 29605-5611, US
Phone (864) 455-6372
Fax
Business Location
255 ENTERPRISE BLVD
SUITE 250
GREENVILLE SC, 29615-6300, US
Phone (864) 454-0888
Fax (864) 454-1130
Toxanomy
Taxonomy Code 207PP0204X
License State South Carolina
License Number 21139
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According to our database, Laurie Lynn Malmstrom MD NPI is 1093732091, taxonomy code is 207PP0204X and license number is 21139, license state is located at South Carolina. Laurie Lynn Malmstrom MD physically located at 701 Grove Rd, Greenville SC, 29605-5611. NPI Number Laurie Lynn Malmstrom MD has the Individual type.

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1093732091 NPI number is provided on an as is basis without warranty of any kind. 1093732091 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Lynn Malmstrom MD are for informational purposes only.