Individual
DR. LAURA JANE DELERUYELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Mailing address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2859852
FL
363LF0000X
Family Nurse Practitioner
Primary
201709802NP
OR
363LF0000X
Family Nurse Practitioner
5004960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8929
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
05/30/2007
Last updated
03/17/2018
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