Provider Demographics
NPI:1609088061
Name:STEWART, LAURA ANNE-SWART (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANNE-SWART
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:ANNE
Other - Last Name:SWART-HILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:616-638-4380
Mailing Address - Fax:
Practice Address - Street 1:1030 MCINTOSH CIR
Practice Address - Street 2:STE 1
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3614
Practice Address - Country:US
Practice Address - Phone:417-347-8750
Practice Address - Fax:417-347-8788
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088732208000000X
MO2013023207208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics