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Individual
HEATHER LAURIE
Active
Individual
HEATHER LAURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2309523
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2309523
MA
363LG0600X
Gerontology Nurse Practitioner
RN2309523
MA
Other
Enumeration date
10/31/2022
Last updated
04/17/2026
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