Provider Demographics
NPI:1841652328
Name:ORLANDO, LAURA L (NP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:L
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:ORLANDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:2290 BECKENHAM PL
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-6745
Mailing Address - Country:US
Mailing Address - Phone:678-536-5700
Mailing Address - Fax:
Practice Address - Street 1:2290 BECKENHAM PL
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-6745
Practice Address - Country:US
Practice Address - Phone:678-536-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN214243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily