Individual
LAURELL A CONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 MAIN ST, GIDEON, MO 63848
(573) 448-3800
(573) 448-8909
Mailing address
901 W COMMERCIAL ST, KENNETT, MO 63857-1100
(573) 717-1072
(573) 559-2289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
122452
AR
363LF0000X
Family Nurse Practitioner
Primary
2019022745
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420074761
—
MO
Enumeration date
06/25/2019
Last updated
02/03/2020
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