Individual
LAURIE HULSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1403 S KING ST, WINDSOR, NC 27983-9666
(252) 794-6775
Mailing address
PO BOX 40, WINDSOR, NC 27983-0040
(252) 794-6775
(979) 543-2205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M2884
TX
207Q00000X
Family Medicine Physician
Primary
M2884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179826601
—
TX
01
—
8V0920
BCBS
TX
01
—
P00326642
RAILROAD MEDICARE
TX
Enumeration date
04/19/2006
Last updated
01/24/2022
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