Laura Decastor
MD | Pediatric Neonatal-Perinatal Medicine | Female
Laura Decastor, MD is a Mishawaka, Indiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Laura Decastor is
5215 Holy Cross Pkwy, Mishawaka, Indiana - 46545-1469. She can be contacted on phone at
574-335-5000 and fax number 574-335-0760.
Laura Decastor is a sole proprietor of her business.
NPI number (Unique professional ID) for Laura Decastor is
1942373428 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 10 Oct, 2014.
Laura Decastor license number is
4301049652 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Laura Decastor is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Laura Decastor basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Laura Decastor |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Laura Decastor address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5215 Holy Cross Pkwy
Mishawaka, IN, 46545-1469
United States |
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| Phone Number : | 574-335-5000 |
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| Fax Number : | 574-335-0760 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942373428 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 10 Oct, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laura Decastor are as mentioned. Primary taxonomy code for Laura Decastor, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 4301049652 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Laura Decastor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 2844302-10 | MEDICAID | MI | |
| 200872670 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6309
South Bend, IN, 46660-6309
United States |
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| Phone Number : | 574-335-8707 |
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| Fax Number : | 574-335-0750 |
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Business Location:
Patients can refer following map for directions to
Laura Decastor practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.