Provider Demographics
NPI:1972952570
Name:MITCHELL, LAURA (PA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-583-5370
Mailing Address - Fax:989-583-1872
Practice Address - Street 1:3875 BAY RD STE 2S
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2423
Practice Address - Country:US
Practice Address - Phone:989-583-5370
Practice Address - Fax:989-583-1872
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2023-09-26
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Provider Licenses
StateLicense IDTaxonomies
MI5601007814363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant