Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD446808 | PA |
N | 111NI0900X | Internist | MD446808 | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | MD446808 | PA |
N | 208000000X | Pediatrician | MD446808 | PA |
NPI | 1295965515 |
---|---|
Provider Name | Laura Elizabeth Dingfield |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 12/09/2019 |