Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 20280 | SC |
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME 82272 | FL |
NPI | 1083781363 |
---|---|
Provider Name | Dr. Laura Anne Valleni |
First Address | Columbia, SC 29203-6845 |
Second Address | Columbia, SC 29203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 09/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202809 | (05) | SC |
273978000 | (05) | FL |