Small, Laurie
Small, Laurie is an individual health care provider with primary practice located at 102 Campus Dr , Scarborough ME 04074-9692. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Small, Laurie can be contacted via phone (207) 883-0069.Contact Information
Primary practice address
102 Campus Dr
Scarborough ME 04074-9692
Phone: (207) 883-0069
Fax: (207) 883-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD15639 | Maine |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD15639 | Maine |
Profile Details
| NPI number | 1205950003 |
|---|---|
| LBN Legal business name | Small, Laurie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 26th, 2014 - about 10 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 | 1205950003 | NPPES |
| Maine | MEDICAID | 261040099 | |
| Maine | MEDICAID | 30202051 |
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