Individual
LAUREL CASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10370 PARK RD STE 201, CHARLOTTE, NC 28210-8509
(704) 542-3003
(704) 542-3040
Mailing address
13320 BAKER MILLS RD, PINEVILLE, NC 28134-7365
(704) 654-9074
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0010-07394
NC
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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