Individual
LAURIE S MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6274 E GRANT RD, TUCSON, AZ 85712-5831
(520) 296-8333
(520) 296-8444
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 296-8333
(520) 296-8444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN071
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927155
—
AZ
Enumeration date
12/20/2005
Last updated
07/22/2011
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