Individual
LAURA ANN HASTINGS-WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203
(240) 566-1639
Mailing address
1800 CAMDEN RD STE 107-259, CHARLOTTE, NC 28203-4690
(240) 566-1639
(770) 701-6718
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
G86027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G860270
—
CA
01
—
00G860270 F91
CAL OPTIMA
CA
Enumeration date
10/03/2006
Last updated
08/30/2018
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