Individual
LAURA LEE TOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
223 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6565
Mailing address
223 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009358
KY
363LF0000X
Family Nurse Practitioner
F1214605
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100353570
—
KY
Enumeration date
02/12/2015
Last updated
01/26/2017
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