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Individual
MRS. LAURIE TEKLITS
Active
Individual
MRS. LAURIE TEKLITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
283087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283087
LICENSE
NC
Enumeration date
10/18/2012
Last updated
10/08/2019
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