Individual
LAURA K MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-01924
NC
207P00000X
Emergency Medicine Physician
25MA09327700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346560505
—
NC
01
—
18950
BCBS
NC
05
—
NC2279
—
SC
Enumeration date
06/10/2010
Last updated
11/29/2018
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