Individual
DR. LAURIE JO SPARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(161) 887-7442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017031142
MO
363LF0000X
Family Nurse Practitioner
Primary
209.016695
IL
Other
Enumeration date
12/25/2017
Last updated
06/08/2022
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