Individual
MRS. LAURA GORE SIEFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT FRANCIS DRIVE, GREENVILLE, SC 29601
(864) 255-1086
Mailing address
1 SAINT FRANCIS DRIVE, GREENVILLE, SC 29601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200478
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
108767
SC
Other
Enumeration date
09/02/2015
Last updated
04/01/2016
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