Provider Demographics
NPI:1558568725
Name:SWOGGER, LAURA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JOY
Last Name:SWOGGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1251 MULDOON ROAD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504
Mailing Address - Country:US
Mailing Address - Phone:907-274-8281
Mailing Address - Fax:907-274-4055
Practice Address - Street 1:1251 MULDOON ROAD
Practice Address - Street 2:SUITE 112
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504
Practice Address - Country:US
Practice Address - Phone:907-274-8281
Practice Address - Fax:907-274-4055
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMDR-4798208000000X
AK70252084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics