LAURA HAZELTINE M.D. NPI 1164553343

NPI Information

NPI: 1164553343
Provider Name: LAURA HAZELTINE, M.D.
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
115 WALLEN DR
VAN LEAR, KY
ZIP 41265
Phone: (606) 793-7953
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Laura Hazeltine, M.D. is a primary care clinic center in Van Lear, KY. Laura Hazeltine, M.D. NPI is 1164553343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 WALLEN DR
VAN LEAR, KY
ZIP 41265-045
Phone: (606) 793-7953

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	25775	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64257751	MEDICAID	KENTUCKY
2	E01402	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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