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Individual

LAURENCE SIDNEY HOLMAN

Active
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Individual

LAURENCE SIDNEY HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

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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