Individual
MRS. LAURA J HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
500 RUSSELL ST, SUITE 3, STARKVILLE, MS 39759-3413
(662) 324-2244
(662) 324-2295
Mailing address
500 RUSSELL STREET,, SUITE 3, STARKVILLE, MS 39759-3613
(662) 324-2244
(662) 324-2295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R737881
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118665
—
MS
Enumeration date
12/08/2006
Last updated
04/11/2014
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