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Individual
LAURA PORCH
Active
Individual
LAURA PORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
91972
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4170692
BC BS TN
TN
05
—
PENDING
—
TN
Enumeration date
05/24/2006
Last updated
11/16/2017
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