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Individual

MRS. LAURA A. COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
540 NORTH 6TH STREET, EAST SAINT LOUIS, IL 62201
(618) 875-9815
(618) 875-9823
Mailing address
540 NORTH 6TH STREET, EAST SAINT LOUIS, IL 62201
(618) 875-9815
(618) 875-9823

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041325336
IL
163W00000X
Registered Nurse
2001007395
MO
363L00000X
Nurse Practitioner
2001007395
MO
363L00000X
Nurse Practitioner
Primary
209005892
IL

Other

Enumeration date
12/29/2006
Last updated
09/04/2012
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