Doctor Name: | LAURA ELIZABETH FABIAN |
NPI Number: | 1316903909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 851202 |
Business Practice Address: | 1100 S Olympia St Clewiston, FL - 334404400 |
Business Phone Number: | 8639831408 |
Business Fax Number: | 8639023313 |
Mailing Address: | 1100 S Olympia St, CLEWISTON |
State: | FL |
Postal Code: | 334404400 |
Phone Number: | 8639831408 |
Fax Number: | 8639023313 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 851202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |