Colston, Laurie Lee

Colston, Laurie Lee is an individual health care provider with primary practice located at 4320 Diplomacy Dr , Anchorage AK 99508-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Colston, Laurie Lee can be contacted via phone (907) 729-2463.

Contact Information

Primary practice address
4320 Diplomacy Dr Anchorage AK 99508-5925
Phone: (907) 729-2463
Fax: (907) 729-2362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN1005098 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R149149 Maryland

Profile Details

NPI number 1578682258
LBN Legal business name Colston, Laurie Lee
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Sep 6th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578682258 NPPES
Maryland MEDICAID 4076982 00

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