Individual
LAURA LEA SLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1343
Mailing address
PO BOX 836, RIDDLE, OR 97469-0836
(541) 430-2376
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200330407
OR
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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