Individual
LAURA LEA CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
(919) 489-5600
(919) 489-2555
Mailing address
3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
(919) 489-5600
(919) 489-2555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91481
BCBS
NC
01
—
974731
UNITED CONCORDIA
—
Enumeration date
11/26/2007
Last updated
11/26/2007
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