Provider Demographics
NPI:1467547034
Name:MEINKE, LAURA ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELLEN
Last Name:MEINKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:UNIVERSITY OF ARIZONA HEALTH SCIENCES CENTER
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-6114
Mailing Address - Fax:520-694-2353
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:UNIVERSITY OF ARIZONA HEALTH SCIENCES CENTER
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-6114
Practice Address - Fax:520-694-2353
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80092207R00000X
AZ37046207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine