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Individual

LAUREAL JANEICE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
733 PAVILION VIEW DR, MATTHEWS, NC 28105-9116
(704) 845-5900
Mailing address
733 PAVILION VIEW DR, MATTHEWS, NC 28105-9116
(704) 845-5900

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5017751
NC
363LW0102X
Women's Health Nurse Practitioner
23196
SC
363LW0102X
Women's Health Nurse Practitioner
RN0000178689
TN

Other

Enumeration date
11/23/2011
Last updated
10/01/2023
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