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Individual

LAURA MASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008803
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201306040
IN
05
7100347160
KY
Enumeration date
03/16/2015
Last updated
03/26/2024
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