Individual
DR. LAURA PENO-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2544 COURT DR STE D, GASTONIA, NC 28054
(980) 834-5864
(704) 864-0288
Mailing address
2544 COURT DR STE D, GASTONIA, NC 28054-3478
(980) 834-5864
(704) 864-0288
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
042693
GA
207RP1001X
Pulmonary Disease Physician
Primary
2018-01678
NC
Other
Enumeration date
07/06/2006
Last updated
07/20/2018
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