Provider Demographics
NPI:1205153517
Name:FLOERSCH, LAURA (MMS, PA-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:FLOERSCH
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 CATCLAW DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4181
Mailing Address - Country:US
Mailing Address - Phone:623-332-0402
Mailing Address - Fax:
Practice Address - Street 1:1665 ANTILLEY RD STE 240
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5274
Practice Address - Country:US
Practice Address - Phone:325-793-5109
Practice Address - Fax:325-793-5105
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4616363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical