| Doctor Name: | LAURIE MICHLIN |
| NPI Number: | 1518917111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | APN000723 |
| Business Practice Address: | 1297 Nevada Hwy Suite A Boulder City, NV - 890051853 |
| Business Phone Number: | 7022941919 |
| Business Fax Number: | 7022940072 |
| Mailing Address: | 1297 Nevada Hwy, Suite A BOULDER CITY |
| State: | NV |
| Postal Code: | 890051853 |
| Phone Number: | 7022941919 |
| Fax Number: | 7022940072 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | APN000723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |