Individual
LAURETTA GINEX STOMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
157 MEDICAL PARK DR, BREVARD, NC 28712-4189
(828) 884-3440
(828) 884-6613
Mailing address
600 BEVERLY HANKS CTR, HENDERSONVILLE, NC 28792-2305
(828) 693-3296
(828) 692-6450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-01-727
NC
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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