Laveaux, Kathleen
Laveaux, Kathleen is an individual health care provider with primary practice located at 698 Duluth Hwy Ste 201 , Lawrenceville GA 30046-7648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Laveaux, Kathleen can be contacted via phone (770) 822-0788.Contact Information
Primary practice address
698 Duluth Hwy Ste 201
Lawrenceville GA 30046-7648
Phone: (770) 822-0788
Fax: (770) 822-0326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 15-021 | Georgia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 244794 | New York |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 074394 | Georgia |
Profile Details
| NPI number | 1659571941 |
|---|---|
| LBN Legal business name | Laveaux, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Aug 19th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659571941 | NPPES |
| Georgia | MEDICAID | 003162750A | |
| Georgia | MEDICAID | 003162750B |
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