Laura Lee Wells NP

NPI 1164634697 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164634697
Gender Female
Enumeration Date 05/04/2007
Last Updated 08/07/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
537 UNION AVE
GRANTS PASS OR, 97527-5543, US
Phone (541) 507-2170
Fax (541) 507-2171
Business Location
2620 E BARNETT RD STE H
MEDFORD OR, 97504-8383, US
Phone (541) 789-4281
Fax (541) 789-5538
Toxanomy
Taxonomy Code 363LF0000X
License State Colorado
License Number 128906
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According to our database, Mrs. Laura Lee Wells NP NPI is 1164634697, taxonomy code is 363LF0000X and license number is 128906, license state is located at Colorado. Laura Lee Wells NP physically located at 537 Union Ave, Grants Pass OR, 97527-5543. NPI Number Laura Lee Wells NP has the Individual type.

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1164634697 NPI number is provided on an as is basis without warranty of any kind. 1164634697 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Lee Wells NP are for informational purposes only.