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John A Laury JR., CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1710452180

John A Laury JR. is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. John A Laury JR. practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for John A Laury JR. is 1710452180 and holds a License No. SP019276 (Pennsylvania).

The current practice location address for John A Laury JR. is 3535 Market St Ste 100, Philadelphia, PA and can be reached out via phone at 484-686-0634.

Location: 3535 Market St Ste 100, Philadelphia, PA, 19107-5608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710452180
Provider Name
John A Laury JR.
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
3535 Market St Ste 100, Philadelphia, PA, 19107-5608
Phone Number
484-686-0634
Fax Number
Provider Enumeration Date
10/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3535 Market St Ste 100
City
Philadelphia
State
Pennsylvania
Zip
19104-3376
Phone Number
484-686-0634
Fax Number
person
Provider Business Mailing Address Details
Address
3535 Market St Ste 100
City
Philadelphia
State
Pennsylvania
Zip
19104-3376
Phone Number
484-686-0634
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP019276 (Pennsylvania)
Definition
Definition to come...
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