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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992914659 NPPES
Florida MEDICAID 122022700
Florida Other 2019001329
Florida MEDICAID 000824000

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