| Doctor Name: | MISS LAURA ELIZABETH RICARDO |
| NPI Number: | 1912135039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0001142051 |
| Business Practice Address: | Bldg 301 Andrews Ave Lyster Army Health Clinic Ft Rucker, AL - 363625333 |
| Business Phone Number: | 3342557376 |
| Business Fax Number: | |
| Mailing Address: | Bldg 301 Andrews Ave, Lyster Army Health Clinic FT RUCKER |
| State: | AL |
| Postal Code: | 363625333 |
| Phone Number: | 3342557376 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2009 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 0001142051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |