# DR. LAURE G DEMATTIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235181579
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45995 | WI | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 53690 | MN | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 5912 | OK | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 07/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006906261I | HUMANA | — |
| 05 | — | 43508500 | — | WI |