Mottl, Laurie Jennifer

Mottl, Laurie Jennifer is an individual health care provider with primary practice located at 4308 Mesa Dr , Denton TX 76207-3459. She recently has 2 registered licenses in different health care specialties including 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. Mottl, Laurie Jennifer can be contacted via phone (940) 381-1501.

Contact Information

Primary practice address
4308 Mesa Dr Denton TX 76207-3459
Phone: (940) 381-1501
Fax: (940) 591-7830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4351 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-002366 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA07844 Texas

Profile Details

NPI number 1336267012
LBN Legal business name Mottl, Laurie Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Mar 29th, 2023 - about 2 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 1336267012 NPPES
Arizona MEDICAID 429843

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