Doctor Name: | LAURA TUNKE |
NPI Number: | 1588981849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1549 Airport Blvd 440 Pensacola, FL - 325048633 |
Business Phone Number: | 8504752668 |
Business Fax Number: | 8504752669 |
Mailing Address: | Po Box 2266, PENSACOLA |
State: | FL |
Postal Code: | 325132266 |
Phone Number: | 8504752668 |
Fax Number: | 8504752669 |
NPI Enumeration Date: | 04/27/2010 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |