Laura Katherine Burt, PHARM. D.
Individual provider Active NPI Pharmacist · Hurley, WI
NPI 1265784185 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1265784185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1686840 (WI)
- Practice address
- 314 Silver St
Hurley, WI 54534-1254 - Phone
- (715) 561-5666
- Fax
- (715) 561-5654
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1686840 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Cross Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1686840 | WI | Yes |
Addresses
Primary practice location
314 Silver St
Hurley, WI 54534-1254
Mailing address
314 Silver St
Hurley, WI 54534-1254
Phone (715) 561-5666
Other providers in Hurley, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.