Provider Demographics
NPI:1477685279
Name:LAURA L HELMAN DO
Entity Type:Organization
Organization Name:LAURA L HELMAN DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:574-255-4733
Mailing Address - Street 1:1207 LINCOLN WAY WEST
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46544
Mailing Address - Country:US
Mailing Address - Phone:574-255-4733
Mailing Address - Fax:574-255-4464
Practice Address - Street 1:1207 LINCOLN WAY WEST
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544
Practice Address - Country:US
Practice Address - Phone:574-255-4733
Practice Address - Fax:574-255-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002716A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
226110Medicare ID - Type Unspecified
I28154Medicare UPIN