Individual
KATELYN M. LAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1235 E CHEROKEE ST RM 194, SPRINGFIELD, MO 65804-2203
(417) 820-3344
Mailing address
1235 E CHEROKEE ST RM 194, SPRINGFIELD, MO 65804-2203
(417) 820-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013004398
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2019017351
MO
363LF0000X
Family Nurse Practitioner
2019017351
MO
Other
Enumeration date
05/15/2019
Last updated
12/07/2020
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