Individual
MS. LAURA LEE POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-6150
Mailing address
PO BOX 770086, MEMPHIS, TN 38177-0086
(901) 482-1677
(731) 764-6696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094199
TN
163W00000X
Registered Nurse
APN 11374
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731062
—
TN
Enumeration date
02/22/2007
Last updated
07/08/2007
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