Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 0101248077 | VA |
N | 207RH0003X | Hematology & Oncology | 35-073914 | OH |
NPI | 1457371122 |
---|---|
Provider Name | Mary J. Laughlin |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 23/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224296 | UNISON (01) | OH |
000000539581 | ANTHEM (01) | OH |
1051998 | AETNA (01) | OH |
2092435 | (05) | OH |
363743 | WELLCARE (01) | OH |
741826 | BUCKEYE (01) | OH |
F82763 | (02) | |
P00123745 | RAILROAD MEDICARE (01) | OH |