Individual
LAURA TANSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
925 HWY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Mailing address
925 HWY VV, KENNETT, MO 63857-0071
(738) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
042050
MO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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