Provider Demographics
NPI:1952382046
Name:ALEXANDER, LAURA ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELISE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ELISE
Other - Last Name:CROTTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5222 FONTAINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1228
Mailing Address - Country:US
Mailing Address - Phone:619-438-4207
Mailing Address - Fax:858-534-5611
Practice Address - Street 1:9500 GILMAN DR # 0687
Practice Address - Street 2:CMME ROOM 1088
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0687
Practice Address - Country:US
Practice Address - Phone:858-534-9760
Practice Address - Fax:858-534-5611
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104176207RC0200X, 207R00000X, 207RP1001X
MA226063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease