Individual
LAURIE MICHELLE RUNYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 984-0571
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3829
—
SC
01
—
SC77686084
MEDICARE PIN
SC
Enumeration date
11/04/2015
Last updated
05/15/2019
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