Individual
LAURIE A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123514
MO
367500000X
Certified Registered Nurse Anesthetist
ARNP9427379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159250001
—
AR
01
—
175118
MO BLUE SHIELD
MO
01
—
83413
ARK BLUE SHIELD
AR
05
—
917229106
—
MO
Enumeration date
02/01/2007
Last updated
10/23/2018
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