Provider Demographics
NPI:1366432965
Name:VOSE, LAURA A (DO)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:VOSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-5429
Mailing Address - Country:US
Mailing Address - Phone:608-782-7300
Mailing Address - Fax:
Practice Address - Street 1:1836 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5429
Practice Address - Country:US
Practice Address - Phone:608-782-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN478142080P0203X
FLOS137072080P0203X
WI387362080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
966465300OtherMEDICAL ASSISTANCE (MA)
132826OtherU CARE
1203284OtherMEDICA HEALTH PLANS
GA296343OtherWELLCARE
01355120OtherAMERIGROUP
1043622OtherPREFERRED ONE
1714222OtherARAZ GROUP/AMERICAS PPO
HP51756OtherHEALTH PARTNERS
168P8VOOtherBLUE CROSS BLUE SHIELD
GAP00829215OtherRR MEDICARE
132826OtherU CARE
1043622OtherPREFERRED ONE
GA461957790AMedicaid
H31344Medicare UPIN
SCGA1099Medicaid