Provider Demographics
NPI:1346747359
Name:HAWORTH, LAURA ASHLEY (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ASHLEY
Last Name:HAWORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8850 WILLIAM COFFEY DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1264
Mailing Address - Country:US
Mailing Address - Phone:414-955-5050
Mailing Address - Fax:414-805-4774
Practice Address - Street 1:8850 WILLIAM COFFEY DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-1264
Practice Address - Country:US
Practice Address - Phone:414-955-5050
Practice Address - Fax:414-805-4774
Is Sole Proprietor?:No
Enumeration Date:2018-04-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI84119-20207VG0400X, 207VG0400X
VA0101275244207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology