Lew Laukka
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Wakefield, MI
NPI 1144879636 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1144879636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 4704186516 (MI)
- Practice address
- 103 W US Highway 2
Wakefield, MI 49968-9515 - Phone
- (906) 229-6120
- Fax
- (906) 229-6191
- NPI assigned
- Sep 6, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704186516 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704186516 | MI | Yes |
Addresses
Primary practice location
103 W US Highway 2
Wakefield, MI 49968-9515
Mailing address
103 W US Highway 2
Wakefield, MI 49968-9515
Phone (906) 229-6120
Other providers in Wakefield, MI
- Hanna Mae Koivisto
- Kim Kolesar
- Karl Korpela
- Wendy Suzanne Krall-Tibaldo
- Lynnea B Laessig
- Michele Lehto
- Monica Lemerond
- Lisa Christine Leppala
- Richard Jay Maher
- William Smith Malloy Jr.
All providers in Wakefield, MI · Psychiatric/Mental Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.