Provider Demographics
NPI:1891025888
Name:CHAPMAN, LAURIE L (ND)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:L
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13118 57TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55319-4715
Mailing Address - Country:US
Mailing Address - Phone:218-348-1101
Mailing Address - Fax:
Practice Address - Street 1:13850 1ST ST STE 4
Practice Address - Street 2:
Practice Address - City:BECKER
Practice Address - State:MN
Practice Address - Zip Code:55308-4546
Practice Address - Country:US
Practice Address - Phone:218-348-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1156175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath