Provider Demographics
NPI:1538694161
Name:HALE, LAURA POPE (MD PHD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:POPE
Last Name:HALE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEDICINE CIR
Mailing Address - Street 2:207A DAVISON BUILDING (BOX 3712 DUMC)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-4771
Mailing Address - Fax:
Practice Address - Street 1:40 MEDICINE CIR
Practice Address - Street 2:207A DAVISON BUILDING (BOX 3712 DUMC)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-4771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500088207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology