Provider Demographics
NPI:1922445303
Name:FOOR, LAURA MCGINNIS (DO)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MCGINNIS
Last Name:FOOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ROSS
Other - Last Name:MCGINNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-491-2855
Mailing Address - Fax:859-655-4395
Practice Address - Street 1:5100 PEACE WAY
Practice Address - Street 2:
Practice Address - City:TAYLOR MILL
Practice Address - State:KY
Practice Address - Zip Code:41015-3506
Practice Address - Country:US
Practice Address - Phone:859-491-2855
Practice Address - Fax:859-655-4395
Is Sole Proprietor?:No
Enumeration Date:2013-05-27
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03829207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100388360Medicaid
KYK198140Medicare PIN