Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura Ruthven Bulloch, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1700289147

Laura Ruthven Bulloch, PNP is a Pediatric Nurse Practitioner in Lake City, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

800 W Main St
Lake City, SC 29560-4400
Phone: (843) 977-7337
Fax: (843) 956-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 19069 (SC)

Record details

NPI number1700289147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorYes
NPI enumeratedSeptember 30, 2014
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022