Lee, Laura Mae

Lee, Laura Mae is an individual health care provider with primary practice located at 60 Hospital Rd , Newnan GA 30263-1210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lee, Laura Mae can be contacted via phone (269) 369-5639.

Contact Information

Primary practice address
60 Hospital Rd Newnan GA 30263-1210
Phone: (269) 369-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005864 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN201155 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704173262 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28108068A Indiana

Profile Details

NPI number 1609812205
LBN Legal business name Lee, Laura Mae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 14th, 2010 - about 16 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 1609812205 NPPES
Georgia Other 1609812205 BLUE CROSS BLUE SHEILD
Georgia MEDICAID 355570547D BLUE CROSS BLUE SHEILD

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