Individual
MRS. LAURA S PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ERWIN RD, DURHAM, NC 27710-0001
(919) 684-3595
Mailing address
5306 SUTTERIDGE CT, DURHAM, NC 27713-6110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076313
RN LIC
NC
Enumeration date
02/06/2007
Last updated
01/22/2013
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