Provider Demographics
NPI:1184010456
Name:THOMAS, LAURA (DO)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:LITCHFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:900 EAST 3RD STREET
Mailing Address - Street 2:CHILD NEUROLOGY
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-778-5437
Mailing Address - Fax:423-778-4232
Practice Address - Street 1:900 EAST 3RD STREET
Practice Address - Street 2:CHILD NEUROLOGY
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-778-5437
Practice Address - Fax:423-778-4232
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4183208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics