person
Laura Ruthven Bulloch, PNP
Pediatric Nurse Practitioner in Lake City, South Carolina
NPI 1700289147

Laura Ruthven Bulloch is a Pediatric Nurse Practitioner based in Lake City, SC and is specialized in Pediatrics. Laura Ruthven Bulloch practices in Lake City, SC and has the professional credentials of PNP. The NPI Number for Laura Ruthven Bulloch is 1700289147 and holds a License No. 19069 (South Carolina).

The current practice location address for Laura Ruthven Bulloch is 800 W Main St, Lake City, SC and can be reached out via phone at 843-977-7337 and via fax at 843-956-5415.

Location: 800 W Main St, Lake City, SC, 29560-4400
person
Provider Profile Details
NPI Number
1700289147
Provider Name
Laura Ruthven Bulloch
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
800 W Main St, Lake City, SC, 29560-4400
Phone Number
843-977-7337
Fax Number
843-956-5415
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 W Main St
City
State
Zip
29560-4400
Phone Number
843-977-7337
Fax Number
843-956-5415
person
Provider Business Mailing Address Details
Address
800 W Main St
City
State
Zip
29560-4400
Phone Number
843-977-7337
Fax Number
843-956-5415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
19069 (South Carolina)
Definition
Definition to come...
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