Mitchell, Laura Gilbert

Mitchell, Laura Gilbert is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitchell, Laura Gilbert can be contacted via phone (678) 312-3273.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Fax: (678) 312-3282
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN085591 Georgia

Profile Details

NPI number 1407907280
LBN Legal business name Mitchell, Laura Gilbert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 24th, 2012 - about 12 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 1407907280 NPPES
Georgia MEDICAID 000788004C

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