Healthcare Provider Details

I. General information

NPI: 1679666770
Provider Name (Legal Business Name): KAREN LYNNE LAAUWE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/10/2024
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1197
US

IV. Provider business mailing address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1197
US

V. Phone/Fax

Practice location:
  • Phone: 352-379-4100
  • Fax:
Mailing address:
  • Phone: 352-379-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME86303
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: