Provider Demographics
NPI:1801818307
Name:LAIDLAW, NANCY ELAINE (AUD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELAINE
Last Name:LAIDLAW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 LAKESIDE BLVD
Mailing Address - Street 2:PO BOX 616
Mailing Address - City:HALE
Mailing Address - State:MI
Mailing Address - Zip Code:48739-8913
Mailing Address - Country:US
Mailing Address - Phone:989-205-4342
Mailing Address - Fax:
Practice Address - Street 1:110 BEECH ST STE C
Practice Address - Street 2:
Practice Address - City:TAWAS CITY
Practice Address - State:MI
Practice Address - Zip Code:48763-8314
Practice Address - Country:US
Practice Address - Phone:989-362-8196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI35010043231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist