Grantham, Laura S.

Grantham, Laura S. is an individual health care provider with primary practice located at 2320 Freeway Dr , Mount Vernon WA 98273-5445. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Grantham, Laura S. can be contacted via phone (360) 428-2550.

Contact Information

Primary practice address
2320 Freeway Dr Mount Vernon WA 98273-5445
Phone: (360) 428-2550
Fax: (360) 428-6402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL2999 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60617391 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60617391 Washington

Profile Details

NPI number 1609171347
LBN Legal business name Grantham, Laura S.
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Sep 22nd, 2021 - about 3 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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