Provider Demographics
NPI:1801948427
Name:TROSIN, LAURIE E (MD)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:E
Last Name:TROSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:215 E SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1761
Mailing Address - Country:US
Mailing Address - Phone:423-547-9400
Mailing Address - Fax:423-547-9401
Practice Address - Street 1:1503 W ELK AVE STE 12
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2883
Practice Address - Country:US
Practice Address - Phone:423-547-9400
Practice Address - Fax:423-547-9401
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46537208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics