Provider Demographics
NPI:1144301482
Name:FICK, LAUREL BAILEY (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:BAILEY
Last Name:FICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAUREL
Other - Middle Name:JEAN
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10255 COMMERCE DR STE 212
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7433
Mailing Address - Country:US
Mailing Address - Phone:463-263-9184
Mailing Address - Fax:
Practice Address - Street 1:10255 COMMERCE DR STE 212
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7433
Practice Address - Country:US
Practice Address - Phone:463-263-9184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27960207R00000X
IN01066573A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine