Stage, Laura Elizabeth

Stage, Laura Elizabeth is an individual health care provider with primary practice located at 3506 S Lafountain St , Kokomo IN 46902-3803. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Stage, Laura Elizabeth can be contacted via phone (765) 865-6700.

Contact Information

Primary practice address
3506 S Lafountain St Kokomo IN 46902-3803
Phone: (765) 865-6700
Fax: (765) 864-6703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01074768A Indiana

Profile Details

NPI number 1063778777
LBN Legal business name Stage, Laura Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Nov 27th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063778777 NPPES
Indiana MEDICAID 201100070

Popular Providers