Provider Demographics
NPI:1609211903
Name:ORR, LAURIE DELL (RN)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:DELL
Last Name:ORR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9571 STATE ROUTE 505
Mailing Address - Street 2:
Mailing Address - City:HAMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45130-8456
Mailing Address - Country:US
Mailing Address - Phone:937-515-1042
Mailing Address - Fax:937-378-1068
Practice Address - Street 1:9571 STATE ROUTE 505
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-8456
Practice Address - Country:US
Practice Address - Phone:937-515-1042
Practice Address - Fax:937-378-1068
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN217322163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse