Individual
LAURIE J PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 WELONA CREEK RD, TITUS, AL 36080-4245
(334) 868-1958
(315) 953-8296
Mailing address
300 TWINING STREET, MAXWELL AFB, AL 36112
(334) 953-5143
(315) 953-8296
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
N3068053
CA
363LF0000X
Family Nurse Practitioner
Primary
5036
CA
Other
Enumeration date
07/03/2006
Last updated
11/10/2020
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