| Doctor Name: | MRS. LAURA K DEGEORGE |
| NPI Number: | 1003123985 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, NP-C |
| License Number: | 004467 |
| Business Practice Address: | 30 Quaker Farms Rd Southbury, CT - 064882732 |
| Business Phone Number: | 2032649177 |
| Business Fax Number: | |
| Mailing Address: | 124 Cedar Ln, BEACON FALLS |
| State: | CT |
| Postal Code: | 064031214 |
| Phone Number: | 2037202408 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 03/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 004467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |