Individual
MRS. LAURIE JANE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
302 MEDICAL PARK DRIVE, LUFKIN, TX 75904-3129
(936) 699-5433
(936) 699-5465
Mailing address
302 MEDICAL PARK DRIVE, LUFKIN, TX 75904-3129
(936) 699-5433
(936) 699-5465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
623358
TX
Other
Enumeration date
08/13/2006
Last updated
04/03/2014
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