Individual
DR. LAURIE BAY CRAYCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
(502) 636-8032
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40230
TN
207P00000X
Emergency Medicine Physician
Primary
42215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117516
—
MS
05
—
3336915
—
TN
01
—
4118435
BLUE CROSS
TN
05
—
7100054420
—
KY
Enumeration date
05/27/2006
Last updated
07/23/2024
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