Individual
LAURA M. SULECKI
Active
Individual
LAURA M. SULECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28131573
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71001308
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993780
—
IN
Enumeration date
08/03/2010
Last updated
02/28/2011
Update your record
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