Doctor Name: | LAURA DEMING |
NPI Number: | 1437320074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 587712 |
Business Practice Address: | 1300 N Virginia St Ste. 111 Port Lavaca, TX - 779792509 |
Business Phone Number: | 3615536844 |
Business Fax Number: | 3615537314 |
Mailing Address: | 506 Chimney Rock Dr, VICTORIA |
State: | TX |
Postal Code: | 779041106 |
Phone Number: | 2816859475 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 02/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SN0000X |
License Number: | 587712 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |