Individual
LAURI S BAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2721 X RAY DR, GASTONIA, NC 28054-7491
(704) 874-2255
(704) 810-7417
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004686
NC
Other
Enumeration date
04/05/2010
Last updated
11/25/2025
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