Provider Demographics
NPI:1407185036
Name:KATZ, LAURA THOMPSON (NP-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:THOMPSON
Last Name:KATZ
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 JOHNSON FERRY RD NE
Mailing Address - Street 2:TRACH DEPENDENT PULMONARY CLINIC
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1605
Mailing Address - Country:US
Mailing Address - Phone:404-785-5300
Mailing Address - Fax:404-785-2611
Practice Address - Street 1:1001 JOHNSON FERRY RD NE
Practice Address - Street 2:TRACH DEPENDENT PULMONARY CLINIC
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1605
Practice Address - Country:US
Practice Address - Phone:404-785-5300
Practice Address - Fax:404-785-2611
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN168525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily