Individual
MRS. LAURA KATHLEEN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
560 S LAWRENCE ST, MONTGOMERY, AL 36104-4788
(334) 293-7018
Mailing address
560 S LAWRENCE ST, MONTGOMERY, AL 36104-4788
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1123984
AL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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