# LAURIE JEAN FITZGIBBON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902261944
- **Gender:** F
- **Credential:** NP-C, CCNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | COA.18318-NP | OH | Yes |
| 364SA2100X | Acute Care Clinical Nurse Specialist | COA.10052-NS | OH | — |

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 01/06/2016