Individual provider · Type 1 NPI
Laura Ruthven Bulloch, PNP
Pediatric Nurse Practitioner · Lake City, SC
NPI number
1700289147
Active
Practice location
800 W Main St
Lake City, SC 29560-4400
Fax (843) 956-5415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 19069 (SC) |
Pediatric Nurse Practitioner: Definition to come...
6 other providers at this address
- Elm Pediatrics, LLCPrimary Care Clinic/Center Lake City, SC NPI 1255009163
- Elm Pediatrics, LLCRural Health Clinic/Center Lake City, SC NPI 1457047581
- Bianca D. Blakeney, FNP-CFamily Nurse Practitioner Lake City, SC NPI 1487500781
- Ellen Patrice Turbeville Minter, MDPediatrics Physician Lake City, SC NPI 1215991757
- Erin Lewis, FNPFamily Nurse Practitioner Lake City, SC NPI 1790174928
- Monica Wilson Holt, FNPFamily Nurse Practitioner Lake City, SC NPI 1902381791
About NPI 1700289147
Laura Ruthven Bulloch, PNP's National Provider Identifier is 1700289147, issued on Sep 30, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake City, SC. The record was last updated on Sep 21, 2022.