| Doctor Name: | LAURI M ZIKE |
| NPI Number: | 1871757286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01068113A |
| Business Practice Address: | 7149 Blacksheep Run Road Ft. Campbell, KY - 42223 |
| Business Phone Number: | 2704128688 |
| Business Fax Number: | 2704128421 |
| Mailing Address: | 7149 Blacksheep Run Road, FT. CAMPBELL |
| State: | KY |
| Postal Code: | 42223 |
| Phone Number: | 2704128688 |
| Fax Number: | 2704128421 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01068113A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |