Healthcare Provider Details

I. General information

NPI: 1265986087
Provider Name (Legal Business Name): LAURA NGUYEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HAMILTON GENERAL HOSPITAL, 7TH FLOOR MCMASTER WING 237 BARTON STREET EAST
HAMILTON ON
L8L 2X2
CA

IV. Provider business mailing address

HAMILTON GENERAL HOSPITAL, 7TH FLOOR MCMASTER WING 237 BARTON STREET EAST
HAMILTON ON
L8L 2X2
CA

V. Phone/Fax

Practice location:
  • Phone: 905-521-2100
  • Fax: 905-577-1431
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number4301110928
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: