LAUREL T RAINES

COLUMBIA, MO
NPI1790020519
Former NameLAUREL T DAVISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  201102500)
Enumeration Date2012-12-05
Last Update Date2018-07-08
Business Address
LAUREL T RAINES NP
1020 HITT STREET
COLUMBIA, MO 65212
Phone number: 573-882-1515
Mailing Address
LAUREL T RAINES NP
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259