Individual
LAURENCE SIDNEY HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
10880 DURANT RD STE 324, RALEIGH, NC 27614-6629
(919) 787-7246
(919) 787-7247
Mailing address
3801 WAKE FOREST RD, STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
5006588
NC
363LF0000X
Family Nurse Practitioner
Primary
5006588
NC
363LF0000X
Family Nurse Practitioner
71003291A
IN
363LF0000X
Family Nurse Practitioner
F1109060
IN
363LP2300X
Primary Care Nurse Practitioner
5006588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201189380
—
IN
Enumeration date
03/29/2010
Last updated
10/30/2025
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