Individual provider · NPI-1

Dr. Laura Sueann Ball, DO

Preventive Medicine, Aerospace Medicine · Fort Rucker, AL

NPI number1346643012
StatusActive
Last updated in NPPESJul 24, 2023

Details

NPI
1346643012
Entity type
Individual (NPI-1)
Name
Dr. Laura Sueann Ball
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2014
Certification date
Jul 21, 2023
Last updated
Jul 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083A0100X Preventive Medicine, Aerospace Medicine2791ALYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

301 Andrews Ave
Fort Rucker, AL 36362

Phone 334-503-7831

Mailing address

301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Phone 706-544-2041

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