Individual
LAURIE MARIE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BLEVINS BOUELVARD, SUITE 1, BRISTOL, VA 24202
(276) 268-2810
(276) 268-2810
Mailing address
170 BLEVINS BOUELVARD, SUITE 1, BRISTOL, VA 24202
(276) 268-2810
(276) 268-2810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140863
TN
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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