Individual
LAURA ANTHONY O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
500 WEST GRANT STREET, LAKE CITY, MN 55041-1143
(651) 345-3321
Mailing address
500 WEST GRANT STREET, LAKE CITY, MN 55041
(651) 345-3321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4674
MN
363L00000X
Nurse Practitioner
Primary
CNP4674
MN
363LF0000X
Family Nurse Practitioner
7077 - 33
WI
363LF0000X
Family Nurse Practitioner
CNP 4674
MN
Other
Enumeration date
08/08/2016
Last updated
08/03/2021
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