Laura Lesa Bacon in Fort Campbell - Medical-surgical

Laura Lesa Bacon - NPI 1558318469

Laura Lesa Bacon is a Medical-surgical in Fort Campbell, Kentucky. Laura Lesa Bacon practices all healthcare services and medical treatments related to Medical-surgical. The NPI Number for Laura Lesa Bacon is 1558318469. The last update date is 2007-07-08.

Laura Lesa Bacon's current location address is 650 Joel Drive, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988372 and fax number 2709560180. The mailing address for Laura Lesa Bacon is 650 Joel Drive, Fort Campbell, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Lesa Bacon
Address 650 Joel Drive, Fort Campbell, Kentucky
Phone Number 2707988372
Fax Number 2709560180
Sole Proprietor X
Credentials R.N.

NPI Number Detail

NPI Number 1558318469
Provider Enumeration Date 2006-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 650 Joel Drive
City Fort Campbell
State Kentucky (KY)
Post Code 422235349
Phone Number 2707988372
Fax Number 2709560180

Provider's Primary Taxonomy Detail

Speciality Medical-surgical
Taxonomy 163Wm0705X
Licence No 1061231
Definition:
A registered nurse who cares for adult patients with general medical and surgical needs.

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FAQs about Laura Lesa Bacon

What is the unique provider identifier assigned to Laura Lesa Bacon?

The Laura Lesa Bacon has been issued the NPI (National Provider Identifier) 1558318469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Laura Lesa Bacon is geographically located?

The Laura Lesa Bacon is physically situated at the following location: 650 Joel Drive, Fort Campbell, KY, 422235349.

What is Laura Lesa Bacon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laura Lesa Bacon is Medical-surgical, and the corresponding taxonomy classification code for this specialized field is 163Wm0705X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558318469 to Laura Lesa Bacon?

The Laura Lesa Bacon received its 1558318469 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.

When was the Laura Lesa Bacon's information last updated?

The Laura Lesa Bacon's information was last updated on 2007-07-08.

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