Individual
DR. LAURA BETH CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 559-1794
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A160427
CA
2088P0231X
Pediatric Urology Physician
Primary
55621
KY
Other
Enumeration date
04/19/2013
Last updated
08/03/2021
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