Organization
LAURIE L. CALLAN,NURSE PRACITIONER ,LLC
Active
Other names
Laurie L. Callan,Nurse Pracitioner ,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE L CALLAN APN,CWOCN (OWNER)
(563) 357-1757
Entity
Organization
Contact information
Practice address
250 S 14TH ST, CLINTON, IA 52732-5435
(563) 357-1757
Mailing address
PO BOX 361, CLINTON, IA 52733-0361
(563) 242-5316
(563) 242-3128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A074701
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A074701
LICENSE
IA
01
—
F0806016
CERTIFICATE
IA
Enumeration date
01/10/2007
Last updated
01/22/2019
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