Individual
LAURA L TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 FLORAL VALE BLVD, YARDLEY, PA 19067-5526
(215) 750-7150
(215) 750-7153
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 750-7150
(215) 750-7153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MA075406
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD454960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004511
—
NJ
05
—
1030399600002
—
PA
01
—
2405424
CIGNA PA
PA
01
—
30249172
KEYSTONE FIRST
PA
01
—
3300851
HIGHMARK BLUE SHIELD
PA
01
—
3937492000
KEYSTONE IBC
PA
01
—
7874515
AETNA
PA
01
—
P01534012
RAILROAD MEDICARE
PA
Enumeration date
02/06/2006
Last updated
01/27/2017
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