MEDICARE: LAURA COHEN M.D

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	207N00000X	Dermatology Physician	74195	TN

General Provider Information

NPI Number	:	1629025929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA COHEN M.D

Provider Business Mailing Address
First Line	:	810 OAK MEADOW DR # 680113
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5504
Country	:	US
Telephone Number	:	949-228-3112
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 OAK MEADOW DR # 680113
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5504
Country	:	US
Telephone Number	:	949-228-3112
Fax Number	:

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	05/28/2025

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