Montague, Laurie

Montague, Laurie is an individual health care provider with primary practice located at 14100 58Th St N Ste 100 , Clearwater FL 33760-9900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Montague, Laurie can be contacted via phone (727) 824-8181.

Contact Information

Primary practice address
14100 58Th St N Ste 100 Clearwater FL 33760-9900
Phone: (727) 824-8181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042.0013060 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME163663 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10816 New Hampshire

Profile Details

NPI number 1326030099
LBN Legal business name Montague, Laurie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 17th, 2024 - about 10 months 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 1326030099 NPPES
New Hampshire Other 2861860 CIGNA
New Hampshire MEDICAID 1013829 CIGNA
New Hampshire MEDICAID 120341500 CIGNA
New Hampshire MEDICAID 30206983 CIGNA
New Hampshire Other 01YP12315NH01 CIGNA

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