| Doctor Name: | MRS. LAURA ANN WYROCK |
| NPI Number: | 1366816449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACCNS-AG |
| License Number: | COA.16730-NS |
| Business Practice Address: | 6780 Mayfield Rd Mayfield Heights, OH - 441242203 |
| Business Phone Number: | 4403125275 |
| Business Fax Number: | 4403126690 |
| Mailing Address: | 6780 Mayfield Rd, MAYFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441242203 |
| Phone Number: | 4403125275 |
| Fax Number: | 4403126690 |
| NPI Enumeration Date: | 11/30/2015 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | COA.16730-NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |