Provider Demographics
NPI:1548509029
Name:KURAS, LAURA THEOPHILIA (MLS, MT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:THEOPHILIA
Last Name:KURAS
Suffix:
Gender:F
Credentials:MLS, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12551 EQUESTRIAN CIR
Mailing Address - Street 2:#703
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7555
Mailing Address - Country:US
Mailing Address - Phone:941-391-1320
Mailing Address - Fax:
Practice Address - Street 1:5030 MASON CORBIN CT
Practice Address - Street 2:STE B
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4548
Practice Address - Country:US
Practice Address - Phone:239-278-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTN 18936246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist