Provider Demographics
NPI:1962946392
Name:FITZSIMMONS, LAURIN CAHILL (PA)
Entity type:Individual
Prefix:
First Name:LAURIN
Middle Name:CAHILL
Last Name:FITZSIMMONS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-8111
Mailing Address - Fax:
Practice Address - Street 1:DUKE CLINIC 1F 40 DUKE MEDICINE CIRCLE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-6476
Practice Address - Country:US
Practice Address - Phone:919-684-2426
Practice Address - Fax:919-385-9393
Is Sole Proprietor?:No
Enumeration Date:2016-12-04
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07003363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant