Individual
MRS. LAURA HALL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
107 W MEDICAL PARK DR, SUITE 102, LEXINGTON, NC 27292-6851
(336) 238-1679
(336) 713-6622
Mailing address
PO BOX 24848, WINSTON SALEM, NC 27114-4848
(336) 238-1679
(336) 713-6622
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2010-00586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855346D
—
GA
05
—
00855346E
—
GA
05
—
5914906
—
NC
Enumeration date
05/24/2006
Last updated
11/18/2010
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