Provider Demographics
NPI:1558904474
Name:PINSONNEAULT-CRAIG, LAURA-GABRIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA-GABRIELLE
Middle Name:
Last Name:PINSONNEAULT-CRAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 CAMBRIDGE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1140
Mailing Address - Country:US
Mailing Address - Phone:617-259-8373
Mailing Address - Fax:
Practice Address - Street 1:764 RUE SIVUARAPIK
Practice Address - Street 2:
Practice Address - City:PUVIRNITUQ
Practice Address - State:QUEBEC
Practice Address - Zip Code:H0M 1P0
Practice Address - Country:CA
Practice Address - Phone:819-988-2957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program