Provider Demographics
NPI:1023339108
Name:LAUBSCHER, MIKI A (LPN)
Entity type:Individual
Prefix:
First Name:MIKI
Middle Name:A
Last Name:LAUBSCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WRIGHT AVE
Mailing Address - Street 2:APARTMENT 2W
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3106
Mailing Address - Country:US
Mailing Address - Phone:315-209-9434
Mailing Address - Fax:
Practice Address - Street 1:14 WRIGHT AVE
Practice Address - Street 2:APARTMENT 2W
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3106
Practice Address - Country:US
Practice Address - Phone:315-209-9434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281213-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse