Individual
LAURA THERESE RECCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 GATEWAY BLVD STE A, MOORESVILLE, NC 28117-5608
(704) 799-2878
(704) 799-1627
Mailing address
136 GATEWAY BLVD STE A, MOORESVILLE, NC 28117-5608
(704) 799-2878
(704) 799-1627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-01792
NC
208000000X
Pediatrics Physician
45399
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073410
—
IN
05
—
7100133010
—
KY
Enumeration date
03/27/2009
Last updated
09/19/2018
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