Individual
LAURA ELIZABETH FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1100 S OLYMPIA ST, CLEWISTON, FL 33440-4400
(863) 983-1408
(863) 902-3313
Mailing address
1100 S OLYMPIA ST, CLEWISTON, FL 33440-4400
(863) 983-1408
(863) 902-3313
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
851202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30890200
—
FL
Enumeration date
04/24/2006
Last updated
04/28/2008
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