Provider Demographics
NPI:1558364299
Name:WHITE, LAURA P (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:P
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:140 STONECREST RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8142
Mailing Address - Country:US
Mailing Address - Phone:502-633-6411
Mailing Address - Fax:502-633-6657
Practice Address - Street 1:140 STONECREST RD
Practice Address - Street 2:STE 101
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8142
Practice Address - Country:US
Practice Address - Phone:502-633-6411
Practice Address - Fax:502-633-6657
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-26
Last Update Date:2008-12-30
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Provider Licenses
StateLicense IDTaxonomies
KY28851208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics