Individual
MS. LAURIE COLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(613) 582-7700
Mailing address
204 JAMES ST, INEZ, TX 77968-3631
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP135587
TX
Other
Enumeration date
10/26/2017
Last updated
09/01/2023
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