Doctor Name: | MS. LAURETTA ANNE CONNELLY |
NPI Number: | 1417028242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35068939 |
Business Practice Address: | 109 W 6th St Cookeville, TN - 385011721 |
Business Phone Number: | 9315286945 |
Business Fax Number: | 9313722234 |
Mailing Address: | 109 W 6th St, COOKEVILLE |
State: | TN |
Postal Code: | 385011721 |
Phone Number: | 9315286945 |
Fax Number: | 9313722234 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 35068939 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |