Individual
LAURA LARRABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31319
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16985
WELLPATH
NC
01
—
26811
MEDCOST
NC
01
—
4253902
AETNA
NC
01
—
51044
BCBS
NC
05
—
7951044
—
NC
01
—
847471
MAMSI
NC
01
—
9204
PARTNERS MEDICARE CHOICE
NC
Enumeration date
02/28/2006
Last updated
07/09/2007
Update your record
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