Individual
LAURIE PULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
12669 REGENT OAK DR, DEXTER, MO 63841-9302
(573) 421-8855
Mailing address
12669 REGENT OAK DR, DEXTER, MO 63841-9302
(573) 421-8855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018034585
NV
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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