Individual
LULA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASN, RN
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133422
MO
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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