Individual
LAURA RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1110 WILKINSON TRCE, BOWLING GREEN, KY 42103-3402
(270) 781-3590
(270) 796-3575
Mailing address
PO BOX 640384, CINCINNATI, OH 45264-0301
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4309P
KY
363LF0000X
Family Nurse Practitioner
4309P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100016410
—
KY
05
—
78900982 GROUP
—
KY
Enumeration date
07/27/2006
Last updated
06/16/2009
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