Provider Demographics
NPI:1083351522
Name:HOCKEY, LAURA CAROLYN (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CAROLYN
Last Name:HOCKEY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:CAROLYN
Other - Last Name:HOCKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR FL 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-291-8154
Mailing Address - Fax:
Practice Address - Street 1:2109 HUGHES DR FL 3
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-291-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.151770207P00000X
390200000X
IN01096307A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program