Individual
LAURA J DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
925 S LONG DR, ROCKINGHAM, NC 28379-4835
(910) 417-3000
Mailing address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-8278
(864) 442-7339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
169332
GA
363L00000X
Nurse Practitioner
5010219
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
1328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584870656AB
—
GA
05
—
NP1066
—
SC
Enumeration date
09/05/2006
Last updated
03/17/2018
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