Anderson, Laurie Lynn
Anderson, Laurie Lynn is an individual health care provider with primary practice located at 2801 S Webster Ave , Green Bay WI 54301-2878. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Laurie Lynn can be contacted via phone (920) 337-1122.Contact Information
Primary practice address
2801 S Webster Ave
Green Bay WI 54301-2878
Phone: (920) 337-1122
Fax: (920) 337-1126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1243-026 | Wisconsin |
Profile Details
| NPI number | 1487859278 |
|---|---|
| LBN Legal business name | Anderson, Laurie Lynn |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jan 9th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487859278 | NPPES |
| Wisconsin | MEDICAID | 41810300 |
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