Individual
LAURA BREWER RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
314 CRUTCHFIELD ST, DURHAM, NC 27704-2725
(919) 471-4994
(919) 471-4995
Mailing address
314 CRUTCHFIELD ST, DURHAM, NC 27704-2725
(919) 471-4994
(919) 471-4995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795142
—
NC
Enumeration date
04/02/2007
Last updated
04/29/2010
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