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Individual

LAURA ELIZABETH FAIRBANKS-STUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0837
Mailing address
2380 FIELDSTONE CIR, FAIRBORN, OH 45324-6232

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60329515
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
88269
NM
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020938
OH

Other

Enumeration date
05/22/2014
Last updated
04/09/2026
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