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Individual

LORI ANN TAULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2715 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3981
(417) 888-0298
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14107308082
KS
163W00000X
Registered Nurse
2007033502
MO
363LF0000X
Family Nurse Practitioner
Primary
2011008775
MO

Other

Enumeration date
04/07/2011
Last updated
05/04/2022
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