Provider Demographics
NPI:1760527402
Name:STONE, LAURA WEBB (LAURA STONE)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:WEBB
Last Name:STONE
Suffix:
Gender:F
Credentials:LAURA STONE
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:MARIE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAURA STONE, RPH
Mailing Address - Street 1:2708 LAMONT RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2752
Mailing Address - Country:US
Mailing Address - Phone:502-454-3106
Mailing Address - Fax:800-445-8918
Practice Address - Street 1:2700 CONSTANT COMMENT PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6349
Practice Address - Country:US
Practice Address - Phone:800-445-8917
Practice Address - Fax:800-445-8918
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY61131835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric