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Individual
LAURIE L. MAXWELL
Active
Individual
LAURIE L. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5448
TN
363LF0000X
Family Nurse Practitioner
9240703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4087298
BLUECROSS
TN
Enumeration date
05/28/2006
Last updated
03/18/2009
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