Provider Demographics
NPI:1407945025
Name:HANCOCK, LAURA G (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:G
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CATE ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4692
Mailing Address - Country:US
Mailing Address - Phone:207-251-2052
Mailing Address - Fax:
Practice Address - Street 1:4 PETTEE BROOK LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2344
Practice Address - Country:US
Practice Address - Phone:603-862-9355
Practice Address - Fax:603-862-4259
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME20812084P0800X
NH202582084P0800X
SC7672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry