Provider Demographics
NPI:1154984128
Name:SCHOERNING, LAURA JEAN (DO)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JEAN
Last Name:SCHOERNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2120
Mailing Address - Country:US
Mailing Address - Phone:508-334-8830
Mailing Address - Fax:508-334-8810
Practice Address - Street 1:279 LINCOLN STREET
Practice Address - Street 2:FAMILY MEDICINE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-334-8830
Practice Address - Fax:508-334-8810
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA294941207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program