Provider Demographics
NPI:1780714253
Name:DOTY, LAURIE KAY (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:KAY
Last Name:DOTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BIRMINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1735
Mailing Address - Country:US
Mailing Address - Phone:859-940-0758
Mailing Address - Fax:
Practice Address - Street 1:1200 BIRMINGHAM LN
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1735
Practice Address - Country:US
Practice Address - Phone:859-940-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127418207P00000X
KY45529207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine