Truog, Laurie Ann
Truog, Laurie Ann is an individual health care provider with primary practice located at 5776 Saint Augustine Rd , Jacksonville FL 32207-8030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Truog, Laurie Ann can be contacted via phone (904) 448-4700.Contact Information
Primary practice address
5776 Saint Augustine Rd
Jacksonville FL 32207-8030
Phone: (904) 448-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME0103475 | Florida |
Profile Details
| NPI number | 1992914659 |
|---|---|
| LBN Legal business name | Truog, Laurie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | May 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992914659 | NPPES |
| Florida | MEDICAID | 122022700 | |
| Florida | Other | 2019001329 | |
| Florida | MEDICAID | 000824000 |
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