Provider Demographics
NPI:1316911712
Name:MORGAN, LAURA ANN (PN)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-2085
Mailing Address - Country:US
Mailing Address - Phone:850-926-3591
Mailing Address - Fax:850-926-2178
Practice Address - Street 1:800 SPRING CREEK HWY
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-1325
Practice Address - Country:US
Practice Address - Phone:850-926-3591
Practice Address - Fax:850-926-2178
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1148771164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse