Provider Demographics
NPI:1699718692
Name:BARTON, LAURA PULASKI (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:PULASKI
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:PULASKI
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4 MEMORIAL DR.
Mailing Address - Street 2:STE 110
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002
Mailing Address - Country:US
Mailing Address - Phone:618-474-1711
Mailing Address - Fax:618-474-2793
Practice Address - Street 1:4 MEMORIAL DR.
Practice Address - Street 2:STE 110
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002
Practice Address - Country:US
Practice Address - Phone:618-474-1711
Practice Address - Fax:618-474-1711
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040357672080P0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine