Laura Lynne Minnis LPN

NPI 1790163020 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1790163020
Gender Female
Enumeration Date 05/06/2015
Last Updated 05/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
311 W 15TH ST
TRAVERSE CITY MI, 49684-4110, US
Phone (231) 342-5833
Fax
Business Location
311 W 15TH ST
TRAVERSE CITY MI, 49684-4110, US
Phone (231) 342-5833
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703076821
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According to our database, Laura Lynne Minnis LPN NPI is 1790163020, taxonomy code is 164W00000X and license number is 4703076821, license state is located at Michigan. Laura Lynne Minnis LPN physically located at 311 W 15th St, Traverse City MI, 49684-4110. NPI Number Laura Lynne Minnis LPN has the Individual type.

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1790163020 NPI number is provided on an as is basis without warranty of any kind. 1790163020 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Lynne Minnis LPN are for informational purposes only.