Provider Demographics
NPI:1629391966
Name:LAFLEUR, AMY SUE (LPN)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SUE
Last Name:LAFLEUR
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 1:15803 SAINT LAWRENCE CIR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2928
Mailing Address - Country:US
Mailing Address - Phone:740-360-9131
Mailing Address - Fax:
Practice Address - Street 1:1252 MONTEGO DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-1654
Practice Address - Country:US
Practice Address - Phone:740-360-9131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 130879164W00000X
TX27858164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse