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Individual

LAURIE RICE

Active
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Individual

LAURIE RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201150152NP
OR
363LA2200X
Adult Health Nurse Practitioner
209002092
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640637
—
OR
01
—
P01071080
MEDICARE RAILROAD
OR
Enumeration date
09/14/2006
Last updated
04/11/2013
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