Provider Demographics
NPI:1053944488
Name:ARVIZO, LAURA LEE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEE
Last Name:ARVIZO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 DELAWARE ST STE 1202
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3061
Mailing Address - Country:US
Mailing Address - Phone:409-363-5711
Mailing Address - Fax:
Practice Address - Street 1:3560 DELAWARE ST STE 1202
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3061
Practice Address - Country:US
Practice Address - Phone:409-363-5711
Practice Address - Fax:409-363-5712
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily