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Individual
LAURIE C. GROMER
Active
Individual
LAURIE C. GROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000445
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2380598
AMERICAS PPO
SD
05
—
448690100
—
MN
01
—
4994407
BLUE CROSS
SD
05
—
6828010
—
SD
Enumeration date
01/26/2006
Last updated
05/21/2022
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