Provider Demographics
NPI:1033563986
Name:D'AOUST, LAURA (MD, PHD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:D'AOUST
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2307
Mailing Address - Country:US
Mailing Address - Phone:615-859-6650
Mailing Address - Fax:615-851-1983
Practice Address - Street 1:807 MEADOWLARK LN
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2307
Practice Address - Country:US
Practice Address - Phone:615-859-6650
Practice Address - Fax:615-851-1983
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59161208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics