Individual
LAUREN TEODOROVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
340 SIGNAL HILL DR, STATESVILLE, NC 28625-4483
(704) 239-9281
(704) 978-3205
Mailing address
3115 DUNNS MOUNTAIN RD, SALISBURY, NC 28146-8045
(701) 239-9281
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271319946
TAD ID
NC
Enumeration date
11/16/2016
Last updated
11/16/2016
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