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LAURA RUTHVEN BULLOCH PNP
NPI 1700289147
Nurse Practitioner - Pediatrics in Lake City, SC

Active since September 30, 2014
800 W MAIN ST, LAKE CITY, SC 29560(843) 977-7337(843) 956-5415 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Jul 30, 2019 (2 updates tracked since 2019).

About Laura Ruthven Bulloch Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA RUTHVEN BULLOCH PNP (NPI 1700289147) is an individual pediatrics provider in Lake City, South Carolina, licensed in South Carolina (19069) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1700289147
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLAURA RUTHVEN BULLOCHCredential: PNP
Location Address800 W MAIN STLake City, SC 29560-4400
Mailing Address800 W Main StLake City, SC 29560-4400 · (843) 977-7337 · Fax (843) 956-5415
Phone(843) 977-7337
Fax(843) 956-5415
Sole ProprietorYes
Enumeration DateSeptember 30, 2014
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1700289147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in SC · 19069
800 W MAIN ST, Lake City, SC 29560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN PATRICE TURBEVILLE MINTER MD
Pediatrics
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337
ELM PEDIATRICS, LLC
Clinic/Center (Primary Care)
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337
ELM PEDIATRICS, LLC
Clinic/Center (Rural Health)
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337
BIANCA D BLAKENEY FNP-C
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337
MRS. ERIN LEWIS FNP
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337
MONICA WILSON HOLT FNP
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 977-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Bulloch's NPI number?

The NPI number for Laura Bulloch is 1700289147. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Laura Bulloch located?

Laura Bulloch practices at 800 W Main St, Lake City, SC 29560. The listed phone number is (843) 977-7337.

What is Laura Bulloch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Laura Bulloch accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Laura Bulloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Bulloch was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.