Individual
LAURIE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.
Contact information
Practice address
262 LEROY GEORGE DR STE X, CLYDE, NC 28721-7430
(828) 452-8991
(828) 452-8338
Mailing address
262 LEROY GEORGE DR STE X, CLYDE, NC 28721-7430
(828) 452-8991
(828) 452-8338
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
03NC1052
NC
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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