Individual
LAURIE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
840 GREEN RIVER RD, GAFFNEY, SC 29341-3209
(864) 206-6770
(864) 487-1245
Mailing address
840 GREEN RIVER RD, GAFFNEY, SC 29341-3209
(864) 206-6770
(864) 487-1245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P39010
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538119276
—
SC
Enumeration date
04/11/2014
Last updated
04/11/2014
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