Individual
LAURA KOFF LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4551 NEW BERN AVE STE 160, RALEIGH, NC 27610-1552
(919) 556-1008
Mailing address
8111 REYNARD RD, CHAPEL HILL, NC 27516-9278
(910) 685-5735
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5015729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015729
NCBON
NC
Enumeration date
02/03/2022
Last updated
02/03/2022
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