Healthcare Provider Details

I. General information

NPI: 1982769048
Provider Name (Legal Business Name): LAURA M MORRIS F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA M LAVALLEY F.N.P.

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WRIGHT STREET
PALMER MA
01069-1138
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FLOOR
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-284-5400
  • Fax: 413-284-5559
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number234566
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: