Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURIE K. TAZELAAR-WILLIAMS
Active Sole ProprietorLAURIE K. TAZELAAR-WILLIAMS is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1154814564 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1154814564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2018 (8.2209348601355 yrs)
- Last Updated
- Jun 11, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
5253 W BALD EAGLE BLVDWHITE BEAR LAKE, MN, 551106532Browse MN providers · Browse ZIP 55110
- Phone
- 6123803333
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.