Provider Demographics
NPI:1073308391
Name:STENSON, LAURIE
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:STENSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 HAGER ST
Mailing Address - Street 2:
Mailing Address - City:WILLOW CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58384-4118
Mailing Address - Country:US
Mailing Address - Phone:701-651-2445
Mailing Address - Fax:
Practice Address - Street 1:498 HAGER ST
Practice Address - Street 2:
Practice Address - City:WILLOW CITY
Practice Address - State:ND
Practice Address - Zip Code:58384-4118
Practice Address - Country:US
Practice Address - Phone:701-651-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker