Provider Demographics
NPI:1740366616
Name:BELL, LAURA L (NP)
Entity type:Individual
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First Name:LAURA
Middle Name:L
Last Name:BELL
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Gender:F
Credentials:NP
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Mailing Address - Street 1:3740 W SYLVANIA AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4461
Mailing Address - Country:US
Mailing Address - Phone:419-473-6670
Mailing Address - Fax:419-473-9959
Practice Address - Street 1:770 RIVERSIDE AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1476
Practice Address - Country:US
Practice Address - Phone:517-265-8134
Practice Address - Fax:517-265-6820
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2015-11-20
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Provider Licenses
StateLicense IDTaxonomies
MI4704220607363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4528929Medicaid
MIP91667Medicare UPIN