Individual
LAURA MCDONALD LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, ANESTHESIA SERVICES, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
541 WYNDHAM LN, MARVIN, NC 28173-6632
(704) 877-7575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
XXXXXXXXX
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053895
—
NC
05
—
NAN979
—
SC
Enumeration date
01/22/2010
Last updated
09/14/2016
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