Individual
LAURIE K. CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2120 NW 107TH TER, SUNRISE, FL 33322-3418
(954) 741-0636
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3278662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306485900
—
FL
Enumeration date
02/11/2006
Last updated
09/25/2008
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