Individual
DR. LAURA K KOHLHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 MEDICAL CENTER BLVD, SUITE 290, LAWRENCEVILLE, GA 30045-8708
(770) 962-5100
(770) 962-2400
Mailing address
500 MEDICAL CENTER BLVD, SUITE 290, LAWRENCEVILLE, GA 30045-8708
(770) 962-5100
(770) 962-2400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
061467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061467
MEDICAL LICENSE
GA
Enumeration date
08/19/2008
Last updated
08/19/2008
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