Havrilesky, Laura Jean

Havrilesky, Laura Jean is an individual health care provider with primary practice located at 1000 Trent Drive , Durham NC 27710-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Havrilesky, Laura Jean can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
1000 Trent Drive Durham NC 27710-0001
Phone: (919) 684-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X North Carolina

Profile Details

NPI number 1316971526
LBN Legal business name Havrilesky, Laura Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316971526 NPPES
North Carolina Other 12023 BCBS
North Carolina MEDICAID 8912023 BCBS

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