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Organization
LAURIE L. CALLAN,NURSE PRACITIONER ,LLC
Active
Organization
LAURIE L. CALLAN,NURSE PRACITIONER ,LLC
Active
Other names
Laurie L. Callan,Nurse Pracitioner ,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE L CALLAN APN,CWOCN (OWNER)
(563) 357-1757
Entity
Organization
Contact information
Practice address
250 S 14TH ST, CLINTON, IA 52732-5435
(563) 357-1757
Mailing address
PO BOX 361, CLINTON, IA 52733-0361
(563) 242-5316
(563) 242-3128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A074701
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A074701
LICENSE
IA
01
—
F0806016
CERTIFICATE
IA
Enumeration date
01/10/2007
Last updated
01/22/2019
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