Provider Demographics
NPI:1467770412
Name:SWEET, LAURIE LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:LYNN
Last Name:SWEET
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 1:43097 WOODWARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5043
Mailing Address - Country:US
Mailing Address - Phone:248-454-9000
Mailing Address - Fax:
Practice Address - Street 1:43097 WOODWARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5043
Practice Address - Country:US
Practice Address - Phone:248-454-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704149185163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics