Maxwell, Laurie L.

Maxwell, Laurie L. is an individual health care provider with primary practice located at 3431 Lakewood Dr , West Melbourne FL 32904-5206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maxwell, Laurie L. can be contacted via phone (321) 373-1226.

Contact Information

Primary practice address
3431 Lakewood Dr West Melbourne FL 32904-5206
Phone: (321) 373-1226
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN5448 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9240703 Florida

Profile Details

NPI number 1306893920
LBN Legal business name Maxwell, Laurie L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 18th, 2009 - about 17 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 1306893920 NPPES
Tennessee Other 4087298 BLUECROSS

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