Individual
LAURIE C CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1200 HILYARD ST, SUITE 440, EUGENE, OR 97401-8122
(458) 205-6061
(541) 687-6067
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
086006932N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117841
—
OR
Enumeration date
06/09/2006
Last updated
07/12/2012
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