Individual
JACQUELINE SUZETTE MARAGH-LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2030
Mailing address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019046943
MO
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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