# LAURIE LINN HAMILTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053393553
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 20A8886 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 3891 | OK | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | DO25177 | OR | — |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 01/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100211740A | — | OK |
| 01 | — | 1407812365 | MEDICARE GROUP NPI NUMBER | OR |
| 01 | — | 371803 | GROUP MEDICARE PTAN | OK |
| 01 | — | CB3544 | TRAV RR GROUP NUMBER | OR |
| 01 | — | P00412787 | TRAV RR PTAN NUMBER | OR |
| 01 | — | R0000WFBTV | MEDICARE GROUP PIN NUMBER | OR |
