Provider Demographics
NPI:1902785629
Name:MATTHEWS, LAURA B
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9542
Mailing Address - Country:US
Mailing Address - Phone:906-251-1271
Mailing Address - Fax:
Practice Address - Street 1:55 FOREST DR
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-9542
Practice Address - Country:US
Practice Address - Phone:906-251-1271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula