Provider Demographics
NPI:1841264629
Name:GORBET, LAURI A (MD)
Entity type:Individual
Prefix:
First Name:LAURI
Middle Name:A
Last Name:GORBET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:410 N CEDAR BLUFF RD
Mailing Address - Street 2:STE 300
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3632
Mailing Address - Country:US
Mailing Address - Phone:865-342-8900
Mailing Address - Fax:865-691-0843
Practice Address - Street 1:PROFESSIONAL ANESTHESIA ASSOCIATES
Practice Address - Street 2:131 TUCKER STREET, SUITE 5
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301
Practice Address - Country:US
Practice Address - Phone:931-388-6404
Practice Address - Fax:931-388-7119
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2016-01-19
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Provider Licenses
StateLicense IDTaxonomies
TNMD25801207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3084391Medicaid
TN3084391Medicaid
TN3084392Medicare ID - Type Unspecified