MEDICARE: LAURA C CAZIER MD

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	207P00000X	Emergency Medicine Physician	00026561	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7432674	OTHER	AL	AETNA

General Provider Information

NPI Number	:	1861487845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA C CAZIER MD

Provider Business Mailing Address
First Line	:	PO BOX 11407 DRAWER 141
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-0001
Country	:	US
Telephone Number	:	205-437-6098
Fax Number	:	205-437-5998

Provider Business Practice Location Address
First Line	:	101 SIVLEY RD SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4421
Country	:	US
Telephone Number	:	256-265-9891
Fax Number	:	256-518-8276

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	12/04/2007

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Directions to “ LAURA C CAZIER MD” Practice Location

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