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Individual
MRS. LAURA RENE GOFF
Active
Individual
MRS. LAURA RENE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6028228
BCBS
SD
05
—
7100409450
—
KY
05
—
Q008790
—
TN
Enumeration date
02/28/2011
Last updated
05/26/2022
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