Laura Grace Lew, R.N.
Individual provider Active NPI Registered Nurse · Coolidge, AZ
NPI 1346550878 · NPPES record last updated Oct 18, 2010
Key facts
- NPI
- 1346550878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN132498 (AZ)
- Practice address
- 800 W. Northern Ave.
Coolidge, AZ 85128 - Phone
- (520) 251-2495
- Fax
- (520) 723-2306
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN132498 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN132498 | AZ | Yes |
Addresses
Primary practice location
800 W. Northern Ave.
Coolidge, AZ 85128
Mailing address
28929 North Coal Ave.
San Tan Valley, AZ 85143
Phone (520) 723-2331
Other providers in Coolidge, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2010. 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.