Provider Demographics
NPI:1487920807
Name:AGRESTA, LAURA E (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:E
Last Name:AGRESTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13699 E OLD US HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-9664
Mailing Address - Country:US
Mailing Address - Phone:734-475-4500
Mailing Address - Fax:734-475-4507
Practice Address - Street 1:343 N MAPLE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2824
Practice Address - Country:US
Practice Address - Phone:734-475-4500
Practice Address - Fax:734-475-4507
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2025-04-07
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Provider Licenses
StateLicense IDTaxonomies
MI43015012872080P0207X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology