Individual
LAURA VICTORIA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-2000
Mailing address
1909 PAYTON PLACE DR, VAN BUREN, MO 63965-7209
(573) 429-6698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018004081
MO
Other
Enumeration date
09/04/2018
Last updated
06/25/2025
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