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Individual
LAURIE J PUNG
Active
Individual
LAURIE J PUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP CWHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1070602
MN
363LW0102X
Women's Health Nurse Practitioner
R1070602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01F17PU
BLUE CROSS BLUE SHIELD
—
01
—
0703061
MEDICA HEALTH PLANS
—
01
—
1008899
PREFERRED ONE
—
01
—
113030
UCARE
—
05
—
885520000
—
MN
Enumeration date
11/10/2005
Last updated
05/06/2019
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