MEDICARE: LAURA WHITTINGTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	10307	SD
2	208000000X	Pediatrics Physician	1008	NE

General Provider Information

NPI Number	:	1518257047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA WHITTINGTON DO

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 SOUTH LOUISE AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108
Country	:	US
Telephone Number	:	605-312-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	04/15/2026

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Directions to “ LAURA WHITTINGTON DO” Practice Location

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