Individual
LAURIE ANN GEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42 N SAINT JOSEPH AVE, SUITE 201, NILES, MI 49120-2203
(269) 687-0808
(269) 687-0811
Mailing address
42 N SAINT JOSEPH AVE, SUITE 201, NILES, MI 49120-2203
(269) 687-0808
(269) 687-0811
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
71003018A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4704325286
MI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
71003018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000632627
ANTHEM PROVIDER NUMBER
IN
05
—
200957970
—
IN
Enumeration date
09/16/2009
Last updated
03/28/2024
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