Individual
LAURIE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4186
(502) 875-5240
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28091
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195179
ANTHEM
KY
05
—
64280910
—
KY
Enumeration date
10/03/2006
Last updated
07/07/2022
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