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Individual

LAURA H BACHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2008-01690
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000096168
BLUE CROSS
AL
05
000096168
AL
05
009902895
AL
05
009931635
AL
01
051510633
BLUE CROSS
AL
01
051517241
BLUE CROSS
AL
01
440003007
RAILROAD MEDICARE
AL
05
5910629
NC
01
H15936
VIVA
AL
Enumeration date
05/23/2006
Last updated
01/11/2012
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