Individual
MS. LAURA GRACE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
800 W. NORTHERN AVE., COOLIDGE, AZ 85128
(520) 251-2495
(520) 723-2306
Mailing address
28929 NORTH COAL AVE., SAN TAN VALLEY, AZ 85143
(520) 723-2331
(520) 723-2306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN132498
AZ
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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