Individual
LAURIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
(270) 326-4968
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-7200
(270) 326-4968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186602
BCBS PROVIDER NUMBER
—
01
—
2916P
LICENSE
KY
05
—
78029162
—
KY
01
—
P01099331
RR MEDICARE- POWDERLY
KY
Enumeration date
09/17/2006
Last updated
03/12/2013
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