Roadcap, Laura

Roadcap, Laura is an individual health care provider with primary practice located at 1688 Lawrenceville Hwy , Lawrenceville GA 30044-4608. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Other Service Providers / Specialist is her primary health care specialty. Roadcap, Laura can be contacted via phone (770) 995-2379.

Contact Information

Primary practice address
1688 Lawrenceville Hwy Lawrenceville GA 30044-4608
Phone: (770) 995-2379
Fax: (770) 995-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000831 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT000831 Georgia

Profile Details

NPI number 1891858817
LBN Legal business name Roadcap, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 19 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 1891858817 NPPES
Georgia MEDICAID 10037760
Georgia MEDICAID 306070

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