Dickerson, Laura C.

Dickerson, Laura C. is an individual health care provider with primary practice located at 6420 W Newberry Rd East Wing, Suite 100, Gainesville FL 32605-4308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Dickerson, Laura C. can be contacted via phone (352) 332-3900.

Contact Information

Primary practice address
6420 W Newberry Rd East Wing, Suite 100 Gainesville FL 32605-4308
Phone: (352) 332-3900
Fax: (352) 332-5009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME89739 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME89739 Florida

Profile Details

NPI number 1417031238
LBN Legal business name Dickerson, Laura C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417031238 NPPES
Florida MEDICAID 279426800

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