Individual
MS. LAURIE LEE COLSTON
Active
Individual
MS. LAURIE LEE COLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R149149
MD
363LP0200X
Pediatric Nurse Practitioner
RN1005098
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4076982 00
—
MD
Enumeration date
03/27/2007
Last updated
09/06/2012
Update your record
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