Provider Demographics
NPI:1508123480
Name:LAURENS INTERNAL MEDICINE
Entity Type:Organization
Organization Name:LAURENS INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ONKAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-272-2711
Mailing Address - Street 1:108 CORPORATE SQ
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-4250
Mailing Address - Country:US
Mailing Address - Phone:478-272-2711
Mailing Address - Fax:478-272-2712
Practice Address - Street 1:108 CORPORATE SQ
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-4250
Practice Address - Country:US
Practice Address - Phone:478-272-2711
Practice Address - Fax:478-272-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047103174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty