Provider Demographics
NPI:1154726289
Name:ALHASSAN, LAURA MICHELLE (LPN)
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:MICHELLE
Last Name:ALHASSAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:MICHELLE
Other - Last Name:DORSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3534 DUFFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240
Mailing Address - Country:US
Mailing Address - Phone:330-281-3616
Mailing Address - Fax:
Practice Address - Street 1:3534 DUFFIELD RD.
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240
Practice Address - Country:US
Practice Address - Phone:330-281-3616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.155929-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse