Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0000-31492 | NC |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0000-31492 | NC |
NPI | 1104839729 |
---|---|
Provider Name | Dr. Laurie Louise Dunn |
First Address | Raleigh, NC 27610-1231 |
Second Address | Raleigh, NC 27610-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 13/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8929444 | (05) | NC |
F43924 | (02) |