Provider Demographics
NPI:1831193556
Name:SCHROEDER, LAURA KAY (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KAY
Last Name:SCHROEDER
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 1:9060 E VIA LINDA STE 250
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5425
Mailing Address - Country:US
Mailing Address - Phone:602-443-0184
Mailing Address - Fax:602-443-0187
Practice Address - Street 1:9060 E VIA LINDA STE 250
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5425
Practice Address - Country:US
Practice Address - Phone:602-443-0184
Practice Address - Fax:602-443-0187
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41709207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ422895Medicaid
AZZ258871OtherMEDICARE PIN
AZZ129679Medicare PIN