Individual
MS. LAUREL R WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1401 S MAIN ST STE 2, LAMAR, CO 81052-3821
(719) 336-0315
Mailing address
1401 S MAIN ST STE 2, LAMAR, CO 81052-3821
(719) 336-0315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130208
CO
Other
Enumeration date
09/02/2006
Last updated
06/03/2020
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