Provider Demographics
NPI:1609225242
Name:HORTON, LAURA CALDWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CALDWELL
Last Name:HORTON
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 1:50 MICHELS WAY
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3404
Mailing Address - Country:US
Mailing Address - Phone:603-432-8802
Mailing Address - Fax:
Practice Address - Street 1:50 MICHELS WAY STE 204
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3431
Practice Address - Country:US
Practice Address - Phone:603-432-8802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266999207R00000X
NH23836207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine