Laura Michelle Divine
Gynecologic Oncologist
3410 Worth St Ste 400
Dallas
, Texas 75246-2092
Laura Michelle Divine
Gynecologic Oncologist
3410 Worth St Ste 400
Dallas
, Texas 75246-2092
(972) 234-0813
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Laura Michelle Divine
- Po Box 911230
- Dallas, TX
- Zip : 75391-1230
- Fax : (972) 234-0813
- Phone : (972) 997-8000
Second Address
- Laura Michelle Divine
- 3410 Worth St Ste 400
- Dallas, TX
- Zip : 75246-2092
- Fax : (214) 370-1313
- Phone : (214) 370-1300
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | R3314 | TX |
National Provider Identifier
| NPI | 1255659173 |
|---|---|
| Provider Name | Laura Michelle Divine |
| First Address | Dallas, TX 75391-1230 |
| Second Address | Dallas, TX 75246-2092 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2010 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 372957602 | (05) | TX |
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.