Basic Information
Provider Information
NPI: 1740392455
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAUGHTERS
FirstName: MEGAN
MiddleName: RAE
NamePrefix: MRS.
NameSuffix:  
Credential: RRT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CORNER OF SIDNEY AND LAMONT
Address2: JAMES H QUILLEN MEDICAL CENTER
City: JOHNSON CITY
State: TN
PostalCode: 37684
CountryCode: US
TelephoneNumber: 4239261171
FaxNumber:  
Practice Location
Address1: JAMES H. QUILLEN VAMC
Address2: CORNER OF SIDNEY AND LAMONT
City: JOHNSON CITY
State: TN
PostalCode: 37684
CountryCode: US
TelephoneNumber: 4239261171
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
227900000XRRT0000003449TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered 

No ID Information.


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