Provider Demographics
NPI:1780974121
Name:ANDERSON, LAURA SPECTOR (DO)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SPECTOR
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ALISON
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-447-6643
Mailing Address - Fax:808-947-5805
Practice Address - Street 1:1 MEDICAL CENTER BLVD STE ACP 333
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-872-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS1668207V00000X
HIDOS 1668207VC0200X
390200000X
PAOS021524207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program