Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA RUTHVEN BULLOCH, PNP
Active Sole ProprietorLAURA RUTHVEN BULLOCH, PNP is a Pediatric Nurse Practitioner healthcare provider located in LAKE CITY, South Carolina. NPI 1700289147 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · LAKE CITY, SC
Registration Details
- NPI Number
- 1700289147
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2014 (11.831857405283 yrs)
- Last Updated
- Sep 21, 2022
- License
-
19069 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 W MAIN STLAKE CITY, SC, 295604400Browse SC providers · Browse ZIP 29560
- Phone
- 8439777337
- Fax
- 8439565415
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.