Doctor Name: | SUSAN LAABS |
NPI Number: | 1023474624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RNOOO75136 |
Business Practice Address: | 1120 W Rose St Walla Walla, WA - 993621662 |
Business Phone Number: | 5095256650 |
Business Fax Number: | |
Mailing Address: | 1120 W Rose St, WALLA WALLA |
State: | WA |
Postal Code: | 993621662 |
Phone Number: | 5095256650 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RNOOO75136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |