Provider Demographics
NPI:1578775359
Name:HASKINS, LAURA B (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:HASKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S WALNUT BEND RD
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-1508
Mailing Address - Country:US
Mailing Address - Phone:901-755-8880
Mailing Address - Fax:901-755-8366
Practice Address - Street 1:315 S WALNUT BEND RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-1508
Practice Address - Country:US
Practice Address - Phone:901-755-8880
Practice Address - Fax:901-755-8366
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45201207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology