Healthcare Provider Details

I. General information

NPI: 1891091849
Provider Name (Legal Business Name): LAURA ELIZABETH MORRISON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 SCHILLINGER RD S SUITE A
MOBILE AL
36695-4177
US

IV. Provider business mailing address

7943 MOFFETT RD
SEMMES AL
36575-5409
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-0123
  • Fax: 251-610-4127
Mailing address:
  • Phone: 251-633-0123
  • Fax: 251-544-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.733
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: