Provider Demographics
NPI:1639515612
Name:HAMMON, LAURA JOYE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JOYE
Last Name:HAMMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:JOYE
Other - Last Name:HAMMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:WRNMMC, BLDG 19 4TH FLR, PEDS SUBSPECIALTY CLINIC
Mailing Address - Street 2:4954 NORTH PALMER RD
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WRNMMC, BLDG 19 4TH FLR, PEDS SUBSPECIALTY CLINIC
Practice Address - Street 2:4954 NORTH PALMER RD
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5630
Practice Address - Country:US
Practice Address - Phone:301-400-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014032443171000000X
MO20140332443208000000X
VA01012595492080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No171000000XOther Service ProvidersMilitary Health Care Provider
No208000000XAllopathic & Osteopathic PhysiciansPediatrics