| Doctor Name: | LAURA CATHERINE FORD |
| NPI Number: | 1326047358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 4704134722 |
| Business Practice Address: | 52375 N Main St Mattawan, MI - 490719332 |
| Business Phone Number: | 2696683348 |
| Business Fax Number: | 2696687702 |
| Mailing Address: | 52375 N Main St, MATTAWAN |
| State: | MI |
| Postal Code: | 490719332 |
| Phone Number: | 2696683348 |
| Fax Number: | 2696687702 |
| NPI Enumeration Date: | 07/20/2005 |
| NPI Last Update Date: | 11/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 4704134722 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |