Individual
LAURA MARIA SERRANO-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-2046
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-2046
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
02453
NC
2081P0004X
Spinal Cord Injury Medicine Physician
23596
PR
208D00000X
General Practice Physician
36027
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2018
Last updated
12/16/2024
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