Provider Demographics
NPI:1003167388
Name:ENGEL, LAURIE MICHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:MICHELLE
Last Name:ENGEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36120 SPICEBUSH LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5062
Mailing Address - Country:US
Mailing Address - Phone:216-854-6252
Mailing Address - Fax:
Practice Address - Street 1:36120 SPICEBUSH LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5062
Practice Address - Country:US
Practice Address - Phone:216-854-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN279260163W00000X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics