Individual
DR. LAURA PATRICIA DIEFENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 RUIN CREEK RD, HENDERSON FAMILY MEDICINE CLINIC, HENDERSON, NC 27536-2929
(252) 492-3152
(252) 430-1928
Mailing address
7021 HARPS MILL RD, STE 100, RALEIGH, NC 27615-3240
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-00449
NC
208000000X
Pediatrics Physician
2012-00449
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2008
Last updated
03/03/2021
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