Individual
LAURIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1381 CITRUS TOWER BLVD, SUITE 4, CLERMONT, FL 34711
(352) 243-9114
(352) 243-7822
Mailing address
PO BOX 550967, TAMPA, FL 33655-0967
(352) 243-9114
(352) 243-7822
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9180435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2997
BLUE CROSS BLUE SHIELD
FL
01
—
P00057262
RAILROAD MEDICARE
FL
Enumeration date
09/25/2006
Last updated
07/08/2007
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