Individual
MS. LAURIE A. MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
9900 BREN RD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(229) 589-0272
Mailing address
156 GEO DR, CLARKESVILLE, GA 30523-1603
(229) 456-1956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
093653
GA
363LF0000X
Family Nurse Practitioner
Primary
096653
GA
363LF0000X
Family Nurse Practitioner
RN093653NP
GA
Other
Enumeration date
07/16/2008
Last updated
07/27/2020
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