Individual
MS. LAURA LESA BACON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1061231
KY
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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