Provider Demographics
NPI:1891295671
Name:BARKER, LAURA LESSIE (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LESSIE
Last Name:BARKER
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 1:2401 W SPRING CREEK PKWY APT 1002
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4145
Mailing Address - Country:US
Mailing Address - Phone:517-414-0338
Mailing Address - Fax:
Practice Address - Street 1:2401 W SPRING CREEK PKWY APT 1002
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4145
Practice Address - Country:US
Practice Address - Phone:517-414-0338
Practice Address - Fax:517-414-0338
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX870440163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse