Provider Demographics
NPI:1639975063
Name:DOTSON, LAURA N
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:N
Last Name:DOTSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELFIELD
Mailing Address - State:ND
Mailing Address - Zip Code:58622-7356
Mailing Address - Country:US
Mailing Address - Phone:701-290-8702
Mailing Address - Fax:
Practice Address - Street 1:203 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:BELFIELD
Practice Address - State:ND
Practice Address - Zip Code:58622-7356
Practice Address - Country:US
Practice Address - Phone:701-290-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker