Individual
BROOK LUPPLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1091 MIDWAY DR, LINN CREEK, MO 65052-1687
(573) 346-6758
Mailing address
1091 MIDWAY DR, LINN CREEK, MO 65052-1687
(573) 346-6758
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
2004020214
MO
163WG0600X
Gerontology Registered Nurse
2004020214
MO
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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