Individual
LAURA LEA RAINERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 250-8425
(618) 256-6133
Mailing address
1254 MAIN ST, IMPERIAL, MO 63052-3861
(636) 741-3130
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
Primary
2019005030
MO
Other
Enumeration date
02/15/2019
Last updated
03/21/2022
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