Individual
DR. LAURA L JACIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 443-8947
(252) 451-3090
Mailing address
105 MONABREEZE WAY, GARNER, NC 27529-4369
(866) 556-1620
(252) 451-3090
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
300049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891358H
—
NC
Enumeration date
09/22/2006
Last updated
08/16/2021
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