Laura Jean Havrilesky
Gynecologic Oncologist
1000 Trent Drive
Durham
, North Carolina 27710-0001
Laura Jean Havrilesky
Gynecologic Oncologist
1000 Trent Drive
Durham
, North Carolina 27710-0001
(919) 684-8111
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Laura Jean Havrilesky
- 4101 N Roxboro St
- Durham, NC
- Zip : 27704-2121
- Phone : (919) 684-8111
Second Address
- Laura Jean Havrilesky
- 1000 Trent Drive
- Durham, NC
- Zip : 27710-0001
- Phone : (919) 684-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | NC |
National Provider Identifier
| NPI | 1316971526 |
|---|---|
| Provider Name | Laura Jean Havrilesky |
| First Address | Durham, NC 27704-2121 |
| Second Address | Durham, NC 27710-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 07/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12023 | BCBS (01) | NC |
| 8912023 | (05) | NC |
| G90892 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.