| Doctor Name: | MS. AMY LAURSEN |
| NPI Number: | 1255518346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN |
| License Number: | |
| Business Practice Address: | 3439 Agate Mdws White City, OR - 975031589 |
| Business Phone Number: | 5418269460 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1791, ROGUE RIVER |
| State: | OR |
| Postal Code: | 975371791 |
| Phone Number: | 5419414377 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |