Individual
LORIE JEANNE LAURILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 W 18TH ST, STE 104, SIOUX FALLS, SD 57105-0401
(605) 312-2200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000533
SD
363L00000X
Nurse Practitioner
R016127
SD
Other
Enumeration date
07/30/2008
Last updated
10/01/2015
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