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Individual

KATELYN M. LAURIN

Active
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Individual

KATELYN M. LAURIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013004398
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2019017351
MO
363LF0000X
Family Nurse Practitioner
2019017351
MO

Other

Enumeration date
05/15/2019
Last updated
12/07/2020
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