Individual
LAURA M WALBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
517 S SHARON AMITY RD, CHARLOTTE, NC 28211-2975
(704) 384-8800
(704) 384-8819
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8800
(704) 384-8819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
046401
CT
208000000X
Pediatrics Physician
Primary
2015-01338
NC
208000000X
Pediatrics Physician
ME98701
FL
208000000X
Pediatrics Physician
TRN7900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047174132
—
CT
05
—
1588749634
—
NC
05
—
278794600
—
FL
Enumeration date
10/26/2006
Last updated
10/28/2020
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