Provider Demographics
NPI:1013790559
Name:HAMILL, LAURA (LAC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HAMILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 EGGEMOGGIN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE DEER ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04650-3005
Mailing Address - Country:US
Mailing Address - Phone:609-287-3710
Mailing Address - Fax:
Practice Address - Street 1:241 EGGEMOGGIN RD
Practice Address - Street 2:
Practice Address - City:LITTLE DEER ISLE
Practice Address - State:ME
Practice Address - Zip Code:04650-3005
Practice Address - Country:US
Practice Address - Phone:609-287-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist