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Individual

LAURA KATHRYN DULANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, LPC,FNP

Contact information

Practice address
3787 E KINGSBURY ST, SPRINGFIELD, MO 65809-2141
(417) 886-6968
Mailing address
3787 E KINGSBURY ST, SPRINGFIELD, MO 65809-2141
(417) 886-6968

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118039
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132215
BLUE SHIELD
MO
05
494971302
MO
Enumeration date
04/09/2007
Last updated
07/18/2025
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