Provider Demographics
NPI:1629892682
Name:HOWELLS, LAURA JO
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JO
Last Name:HOWELLS
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 1:612 W AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-1104
Mailing Address - Country:US
Mailing Address - Phone:937-829-0923
Mailing Address - Fax:
Practice Address - Street 1:612 W AUBURN AVE
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-1104
Practice Address - Country:US
Practice Address - Phone:937-829-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide