Individual
LAURIE CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 MORENA CT, BALLWIN, MO 63011-1536
(636) 875-4519
Mailing address
12 MORENA CT, BALLWIN, MO 63011-1536
(636) 875-4519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
083717
MO
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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