Individual
MRS. LAURIE JEAN MCMULLAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2501 CAPEHART RD, SGOSA, OFFUTT A F B, NE 68113-1043
(402) 294-2135
(402) 294-2816
Mailing address
2907 SCHUEMANN DR, BELLEVUE, NE 68123-1998
(402) 884-6476
(402) 294-2816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100909
NE
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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