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Individual

LAURA YEATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 473-2132
(502) 459-0923
Mailing address
PO BOX 70354, LOUISVILLE, KY 40270-0354
(502) 473-2132
(502) 459-0923

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37832
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200447240A
IN
05
7100027370
KY
Enumeration date
12/06/2006
Last updated
11/05/2014
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