Provider Demographics
NPI:1801415203
Name:HAMILTON, LAURA DIANN (TRADITIONAL MIDWIFE)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DIANN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:TRADITIONAL MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17853 SW MEADOWLARK RD
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-8186
Mailing Address - Country:US
Mailing Address - Phone:405-439-4191
Mailing Address - Fax:
Practice Address - Street 1:17853 SW MEADOWLARK RD
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:KS
Practice Address - Zip Code:67133-8186
Practice Address - Country:US
Practice Address - Phone:405-439-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay