Individual
DR. LAURA BURGE LANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12615 TAYLORSVILLE RD, SUITE A, LOUISVILLE, KY 40299-4452
(502) 261-1595
(502) 261-1590
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37933
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767218
ANTHEM -NICC
KY
01
—
000000844433
ANTHEM - NCMA
KY
01
—
134543
SIHO - NICC
KY
01
—
153507
SIHO-NCMA
KY
01
—
50014892
PASSPORT-NCMA
KY
Enumeration date
02/16/2007
Last updated
09/27/2022
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