Individual
LAURIANNE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 N CARTER RD STE 201, SMYRNA, DE 19977-1281
(302) 514-3371
(302) 653-3876
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0024379
DE
207Q00000X
Family Medicine Physician
MT216101
PA
Other
Enumeration date
07/23/2018
Last updated
08/20/2021
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