Doctor Name: | MISS DAGNY LAUR |
NPI Number: | 1760697502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.O. |
License Number: | |
Business Practice Address: | 201 East Morthland Drive (us Rt 30) Suite 2 Valparaiso, IN - 46350 |
Business Phone Number: | 2195317479 |
Business Fax Number: | |
Mailing Address: | 117 Sagamore Parkway, LAPORTE |
State: | IN |
Postal Code: | 46350 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |