Provider Demographics
NPI:1881308203
Name:HILLS, LAURENCE VICTOR (RN)
Entity type:Individual
Prefix:
First Name:LAURENCE
Middle Name:VICTOR
Last Name:HILLS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 OLD ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:WALDOBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04572-6226
Mailing Address - Country:US
Mailing Address - Phone:207-832-1096
Mailing Address - Fax:
Practice Address - Street 1:841 OLD ROUTE 1
Practice Address - Street 2:
Practice Address - City:WALDOBORO
Practice Address - State:ME
Practice Address - Zip Code:04572-6226
Practice Address - Country:US
Practice Address - Phone:207-832-1096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN38879163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics