Individual
LAURA DENISE CARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVP/LPN
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(800) 805-6989
Mailing address
PO BOX 1820, WHITEHOUSE, TX 75791-1820
(318) 617-8774
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329207
TX
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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