Individual
MRS. LAURETTE ELIZABETH RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC, CLC
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5500
(580) 354-5511
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5500
(580) 354-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
85067
HI
163W00000X
Registered Nurse
92722
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
2275
HI
Other
Enumeration date
04/02/2014
Last updated
03/26/2018
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