Provider Demographics
NPI:1396827762
Name:SAUNDERS, LAURA KATHERINE
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATHERINE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:KATHERINE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1330 SHEEHAN AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-3838
Mailing Address - Country:US
Mailing Address - Phone:734-663-9256
Mailing Address - Fax:
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2335
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:734-769-7412
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704181818163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health